Organization
LIGHTHOUSE BEHAVIORAL HEALTH SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN DEAN (ADMIN)
(614) 762-5206
Entity
Organization
Contact information
Practice address
4000 E MAIN ST, COLUMBUS, OH 43213-2950
(614) 334-6903
Mailing address
4000 E MAIN ST, COLUMBUS, OH 43213-2950
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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