Organization
LIGHTHOUSE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN MALONEY LCSW (THERAPIST)
(205) 310-5138
Entity
Organization
Contact information
Practice address
812 20TH AVE E, JASPER, AL 35501-4024
(205) 388-9216
Mailing address
812 20TH AVE E, JASPER, AL 35501-4024
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2349C
AL
Other
Enumeration date
05/17/2013
Last updated
05/17/2013
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