Organization
LIGHTHOUSE COUNSELING LLP
Active
Other names
Lighthouse Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MISS VINEESHA RATHNAM (PARTNER)
(269) 408-6031
Entity
Organization
Contact information
Practice address
521 STATE ST, SAINT JOSEPH, MI 49085-1369
(269) 408-6031
(269) 408-6031
Mailing address
521 STATE ST, SAINT JOSEPH, MI 49085-1369
(269) 408-6031
(269) 408-6031
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401014597
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
6401012473
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154698793
—
MI
05
—
1265848147
—
MI
Enumeration date
05/07/2015
Last updated
05/07/2015
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