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Organization

LIGHTHOUSE THERAPY SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL HUBER PH.D. (CO-OWNER)
(920) 451-8667
Entity
Organization

Contact information

Practice address
314 NIAGARA AVE, SHEBOYGAN, WI 53081-4128
(920) 451-8667
(920) 451-8799
Mailing address
314 NIAGARA AVE, SHEBOYGAN, WI 53081-4128
(920) 451-8667
(920) 451-8799

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
WI
305S00000X
Point of Service
Primary
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42194400
WI
Enumeration date
12/22/2005
Last updated
09/11/2025
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