Organization
LIGHTHOUSE KIDS NC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE COOPER (REVENUE MANAGER)
(423) 455-8358
Entity
Organization
Contact information
Practice address
421 FAYETTEVILLE ST STE 1100, RALEIGH, NC 27601-3000
(626) 688-7149
Mailing address
421 FAYETTEVILLE ST STE 1100, RALEIGH, NC 27601-3000
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/24/2026
Last updated
07/15/2026
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