Organization
LIGHTHOUSE PROFESSIONAL SERVICES GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARMEKIA LASHON FORTSON-HOLLIS LPC (FOUNDER/CEO/LPC)
(706) 392-5008
Entity
Organization
Contact information
Practice address
2102 7TH ST, COLUMBUS, GA 31906-3606
(706) 392-5008
Mailing address
54 RYAN LOOP, PHENIX CITY, AL 36869-7412
(706) 392-5008
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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