Organization
LIGHTHOUSE INTEGRATED HEALTH GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS VALENTINE (CEO)
(413) 781-1118
Entity
Organization
Contact information
Practice address
181 STATE ST, THE MAPLEGATE BUILDING, SPRINGFIELD, MA 01103-1719
(413) 781-1118
Mailing address
181 STATE ST, THE MAPLEGATE BUILDING, SPRINGFIELD, MA 01103-1719
(413) 781-1118
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
5790
MA
171100000X
Acupuncturist
234468
MA
207R00000X
Internal Medicine Physician
Primary
81270
MA
225700000X
Massage Therapist
6361
MA
Other
Enumeration date
12/19/2009
Last updated
12/19/2009
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