Organization
LIGHTHORSE HEALTHCARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARLENE H. TAYLOR LPC (EXECUTIVE DIRECTOR)
(912) 882-3800
Entity
Organization
Contact information
Practice address
87 LINDSEY LN STE B, KINGSLAND, GA 31548-6923
(912) 882-3800
Mailing address
PO BOX 5250, SAINT MARYS, GA 31558-5250
(912) 882-3800
(912) 882-3303
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/16/2013
Last updated
05/16/2013
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