Organization
LIGHTHORSE PSYCHIATRY LLC
Active
Organization
LIGHTHORSE PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NINA C LEONARD APRN (APRN)
(912) 673-9907
Entity
Organization
Contact information
Practice address
102 LAKESHORE DR STE B, SAINT MARYS, GA 31558-3875
(912) 882-3800
(912) 882-3303
Mailing address
102 LAKESHORE DR STE B, SAINT MARYS, GA 31558-3875
(912) 882-3800
(912) 882-3303
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
RN044413
GA
Other
Enumeration date
04/06/2017
Last updated
12/02/2020
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