Organization
LIGHTHOUSE KIDS HIXSON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF WEST (CEO)
(502) 974-5239
Entity
Organization
Contact information
Practice address
1901 NORTHPOINT BOULEVARD, SUITE 140, HIXSON, TN 37343
(502) 974-5239
Mailing address
4427 HIGHLANDER DR, DALLAS, TX 75287-6844
(502) 974-5239
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
Other
Enumeration date
03/29/2022
Last updated
03/06/2024
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