Organization
LIGHTHOUSE THERAPEUTIC SERVICES, LLC
Active
Other names
LIGHTHOUSE
Organization subpart
No
Provider details
NPI number
Authorized official
TAZ BARNES LPC (LICENSED PROFESSIONAL COUNSELOR)
(202) 236-0727
Entity
Organization
Contact information
Practice address
14201 GOVERNOR LEE PL, UPPER MARLBORO, MD 20772-5902
(202) 236-0727
Mailing address
14201 GOVERNOR LEE PL, UPPER MARLBORO, MD 20772-5902
(202) 236-0727
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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