Organization
LIGHTHOUSE CHRISTIAN COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH JANE MOORE PMHNP-BC (PRESIDENT)
(774) 285-0822
Entity
Organization
Contact information
Practice address
101 QUAKER HILL DR, RICHMOND, IN 47374-1926
(774) 285-0822
(765) 966-1293
Mailing address
2514 OAK PARK COURT, RICHMOND, IN 47374-1282
(774) 285-0822
(765) 966-1293
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
09/06/2024
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