Organization
MATIAS INC
Active
Other names
Lighthouse Counseling and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REINALDO MATIAS JR. PH.D. (PRESIDENT, CLINICAL DIRECTOR)
(219) 916-0239
Entity
Organization
Contact information
Practice address
1000 WASHINGTON ST, MICHIGAN CITY, IN 46360-4374
(219) 916-0239
(219) 809-9198
Mailing address
1400 LAKE SHORE DR STOP 8, MICHIGAN CITY, IN 46360-2037
(219) 221-2375
(219) 809-9198
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
01/20/2020
Last updated
01/20/2020
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