Organization
LIGHTHOUSE THERAPEUTIC SERVICES, LLC
Active
Other names
Lighthouse Therapeutic Service
Organization subpart
No
Provider details
NPI number
Authorized official
TAZ BARNES (CEO)
(202) 236-0727
Entity
Organization
Contact information
Practice address
4200 FORBES BLVD STE 103, LANHAM, MD 20706-4390
(202) 236-0727
Mailing address
4200 FORBES BLVD STE 103, LANHAM, MD 20706-4390
(202) 236-0727
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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