Organization
LIGHTHOUSE MENTAL HEALTH COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA BORUM WARRINER LPCC-S (OWNER/PROVIDER)
(859) 957-6067
Entity
Organization
Contact information
Practice address
2390 PRESERVATION WAY, FLORENCE, KY 41042-7879
(804) 240-0618
Mailing address
2390 PRESERVATION WAY, FLORENCE, KY 41042-7879
(859) 957-6067
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100726530
—
KY
Enumeration date
02/07/2021
Last updated
06/30/2023
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