Organization
LIGHTHOUSE PEER SUPPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT HICKS (OWNER)
(919) 985-4142
Entity
Organization
Contact information
Practice address
77 HUNTINGTON RD, LOUISBURG, NC 27549-7442
(919) 985-4142
Mailing address
77 HUNTINGTON RD, LOUISBURG, NC 27549-7442
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/05/2025
Last updated
12/05/2025
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