Organization
LIGHTHOUSE BEHAVIORAL HEALTH SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILI C REITZ ESQ. (CHIEF COMPLIANCE OFFICER)
(614) 334-6903
Entity
Organization
Contact information
Practice address
4000 E MAIN ST, COLUMBUS, OH 43213-2950
(614) 334-6903
Mailing address
4214 E MAIN ST, COLUMBUS, OH 43213-3028
(614) 334-6903
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/31/2018
Last updated
01/07/2022
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