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Organization
LIGHT HOUSE CASE MANAGEMENT
Active
Organization
LIGHT HOUSE CASE MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEPHANIE LAMPLEY FLYE (CEO)
(832) 808-8554
Entity
Organization
Contact information
Practice address
14510 GABLE MOUNTAIN CIR, HOUSTON, TX 77090-2333
(832) 808-8554
Mailing address
14510 GABLE MOUNTAIN CIR, HOUSTON, TX 77090-2333
(832) 808-8554
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083270698
—
TX
Enumeration date
02/04/2020
Last updated
02/04/2020
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