Organization
LIGHTHOUSE THERAPEUTIC MENTORING & COUNSELING SERVICES, LLC
Active
Other names
Lighthouse Therapeutic Mentoring & Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DUWAUA HERBERT LCSW (OWNER)
(302) 419-7343
Entity
Organization
Contact information
Practice address
700 N LOMBARD ST, WILMINGTON, DE 19801-4217
(302) 419-7343
Mailing address
1225 LOBDELL ST, WILMINGTON, DE 19801-5435
(302) 419-7343
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
Q10001239
DE
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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