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Organization
THE LIGHTHOUSE, INC.
Active
Organization
THE LIGHTHOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUZANNE PELLETIER-WALKER MSW, LISW (EXECUTIVE DIRECTOR)
(704) 689-2558
Entity
Organization
Contact information
Practice address
323 N BROAD ST, LOWER LEVEL, LANCASTER, OH 43130-3004
(740) 687-4423
(740) 687-1048
Mailing address
PO BOX 215, LANCASTER, OH 43130-0215
(740) 689-2558
(740) 689-2616
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC160400
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MC 160400
—
OH
Enumeration date
03/14/2006
Last updated
08/22/2020
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