# LIGHTHOUSE BEHAVIORAL HEALTH SOLUTIONS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871130807
- **Authorized official:** BRIAN DEAN (ADMIN)
- **Authorized official phone:** (614) 762-5206

## Contact information

- **Practice address:** 4000 E MAIN ST, COLUMBUS, OH 43213-2950
- **Practice address phone:** (614) 334-6903
- **Mailing address:** 4000 E MAIN ST, COLUMBUS, OH 43213-2950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |

## Other

- **Enumeration date:** 12/10/2019
- **Last updated:** 12/10/2019