Lighthouse Family Service Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LIGHTHOUSE FAMILY SERVICE CENTER

Practice address

150 Stanley CT Ste B
Lawrenceville, GA 30046-5215

Phone

(404) 419-6404

NPI assigned

Sep 23, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Widline Dalambert-Ducena

Title

Executive Director

Phone

(404) 419-6404

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1134735202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 STANLEY CT STE B",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300465215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 STANLEY CT STE B",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300465215",
            "telephone_number": "404-419-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE FAMILY SERVICE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "DALAMBERT-DUCENA",
        "authorized_official_first_name": "WIDLINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "404-419-6404"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Transformation Psychological Center, PC
• Lifecare Medical Supplies
• Lifesaver Healthcare Agency ,Inc.
• Lifeskills Counseling Services
• Lighthouse Family Counseling Center
• Jessica Ligon, OTR L
• Oluwasegun Omoyemi Lijofi, MD
• Like N Arrow LLC
• Alice J Lilly, WHNP
• Katelyn Lilly

• Mental Health Counselor in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.