Lighthouse Psychological Clinic, Pllc
NPI #1700501087 in Shelby Twp, Michigan
Provider Information
- NPI Number
- 1700501087
- Entity Type
- Organization
- Organization Name
- Lighthouse Psychological Clinic, Pllc
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Oct 10, 2022
- Last Updated
- Oct 10, 2022
Practice Location
- Address
- 52188 VAN DYKE AVE STE 300
- City
- Shelby Twp
- State
- Michigan
- ZIP Code
- 48316-3575
- Phone
- (586) 244-8211
Authorized Official
- Name
- JONATHAN HART, LPC
- Title
- PRESIDENT
- Phone
- (586) 244-8211
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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