Organization
LIGHTHOUSE CLINICAL COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FAITHE BREANNE KIMSEY MS, LPC, NCC (EXECTIVE DIR/CEOECTOR)
(770) 329-5405
Entity
Organization
Contact information
Practice address
3883 ROGERS BRIDGE ROAD, SUITE 601, DULUTH, GA 30097
(770) 329-5405
Mailing address
3883 ROGERS BRIDGE ROAD, SUITE 601, DULUTH, GA 30097
(770) 329-5405
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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