Organization
THE LIGHTHOUSE COUNSELING CLINIC, INC.
Active
Other names
Lighthouse Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUANN CALLAWAY PH.D. (CEO)
(770) 474-1946
Entity
Organization
Contact information
Practice address
1514 ROCK QUARRY RD, STOCKBRIDGE, GA 30281-5047
(770) 474-1946
(770) 389-9310
Mailing address
1514 ROCK QUARRY RD, STOCKBRIDGE, GA 30281-5047
(770) 474-1946
(770) 389-9310
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
00958545
GA
251S00000X
Community/Behavioral Health Agency
—
GA
Other
Enumeration date
11/14/2007
Last updated
11/14/2007
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