Organization
LIGHTHOUSE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GWENDOLYN DOWNING MAE, LPC, CCDVFC (CEO)
(334) 684-1045
Entity
Organization
Contact information
Practice address
100 S LIVE OAK ST, GENEVA, AL 36340-2215
(334) 684-1045
(334) 684-1047
Mailing address
100 S LIVE OAK ST, PO BOX 416, GENEVA, AL 36340-2215
(334) 684-1045
(334) 684-1047
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1393
AL
Other
Enumeration date
12/28/2007
Last updated
12/28/2007
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