Organization
BELINDA
Active
Other names
the lighthouse
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLE RICHARDSON LPC (DIRECTOR)
(985) 746-5681
Entity
Organization
Contact information
Practice address
120 PROGRESSIVE BLVD, SUITE 106, HOUMA, LA 70360-4083
(985) 747-5681
Mailing address
120 PROGRESSIVE BLVD, SUITE 106, HOUMA, LA 70360-4083
(985) 747-5681
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101YM0800X
PRIMARY PROVIDER TAXONOMY CODE
LA
Enumeration date
03/23/2016
Last updated
03/23/2016
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