Organization
LIGHTHOUSE TREATMENT CENTERS OF GEORGIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA LOUHICHI (COO)
(706) 636-5483
Entity
Organization
Contact information
Practice address
37 KIKER ST, ELLIJAY, GA 30540-3758
(706) 636-5483
(706) 636-5495
Mailing address
37 KIKER ST, ELLIJAY, GA 30540-3758
(706) 636-5483
(706) 636-5495
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM2800X
Methadone Clinic
Primary
—
—
Other
Enumeration date
08/13/2024
Last updated
10/28/2025
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