Organization
LIGHTHOUSE THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANELLE JOHNSON (PRESIDENT)
(757) 652-2916
Entity
Organization
Contact information
Practice address
3000 WILCREST DR STE 170, HOUSTON, TX 77042-3545
(757) 652-2916
Mailing address
1521 TECHNOLOGY DR STE 101, CHESAPEAKE, VA 23320-5999
(757) 652-2916
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
2267
VA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
12/09/2014
Last updated
04/09/2026
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