Organization
LIGHTHOUSE PSYCHOLOGICAL CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN HART LPC (PRESIDENT)
(586) 244-8211
Entity
Organization
Contact information
Practice address
52188 VAN DYKE AVE STE 300, SHELBY TWP, MI 48316-3575
(586) 244-8211
Mailing address
52188 VAN DYKE AVE STE 300, SHELBY TWP, MI 48316-3575
(586) 244-8211
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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