Organization
LIGHTHOUSE COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHELEEN JOAN HART LPC-S (OWNER)
(231) 268-1707
Entity
Organization
Contact information
Practice address
3624 S STRAITS HWY # PO794, INDIAN RIVER, MI 49749-5136
(231) 268-1707
Mailing address
PO BOX 794, INDIAN RIVER, MI 49749-0794
(231) 268-1707
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47152575
—
MI
Enumeration date
01/10/2022
Last updated
01/10/2022
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