Organization
THE LIGHTHOUSE THERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKAELLA MARI WALKER LCPC (OWNER)
(618) 292-7797
Entity
Organization
Contact information
Practice address
302 S 3RD ST, GREENVILLE, IL 62246-1733
(618) 699-5099
(618) 493-4178
Mailing address
302 S 3RD ST, GREENVILLE, IL 62246-1733
(618) 699-5099
(618) 493-4178
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/28/2023
Last updated
03/01/2023
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