Organization
LIGHTHOUSE BEHAVIORAL HEALTH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBYN LOWRY JENNINGS (CEO)
(804) 447-6382
Entity
Organization
Contact information
Practice address
8310 MIDLOTHIAN TPKE, NORTH CHESTERFIELD, VA 23235-5163
(804) 447-6382
(804) 447-6383
Mailing address
8310 MIDLOTHIAN TPKE, NORTH CHESTERFIELD, VA 23235-5163
(804) 447-6382
(804) 447-6383
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/29/2012
Last updated
11/11/2021
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