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Organization
LIGHTHOUSE WELLNESS CENTERS
Active
Organization
LIGHTHOUSE WELLNESS CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY MICHAEL JENKINS M.A. (PRESIDENT)
(708) 275-0934
Entity
Organization
Contact information
Practice address
5320 159TH ST STE 100, OAK FOREST, IL 60452-3329
(708) 275-0934
Mailing address
5320 159TH ST STE 100, OAK FOREST, IL 60452-3329
(708) 275-0934
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
180-00003704
IL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
IL
101YM0800X
Mental Health Counselor
Primary
—
IL
Other
Enumeration date
03/30/2007
Last updated
09/11/2025
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