Organization
LIGHTHOUSE CLINIC, LLC
Active
Other names
LHC Aquisitions, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA TUDOROF (OWNER/MANAGER)
(323) 447-9507
Entity
Organization
Contact information
Practice address
2524 E WEBSTER PL, SUITE 203, MILWAUKEE, WI 53211-4256
(414) 964-9200
(414) 964-4816
Mailing address
2524 E WEBSTER PL STE 203, MILWAUKEE, WI 53211-4257
(414) 964-9200
(414) 964-4816
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
133V00000X
Registered Dietitian
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
10/04/2010
Last updated
03/04/2026
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