Lighthorse Healthcare Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

LIGHTHORSE HEALTHCARE INC.

Practice address

87 Lindsey LN Ste B
Kingsland, GA 31548-6923

Phone

(912) 882-3800

NPI assigned

May 16, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Carlene H. Taylor, LPC

Title

Executive Director

Phone

(912) 882-3800

Specialties & licenses 1

Addresses

Tax ID family

Lighthorse Healthcare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lighthorse Healthcare, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Marys, GA
  • NPI 1881001576
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Cenerizio, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Roanoke, VA
  • NPI 1629410204
  NPD (past)

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1144666124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5250",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315585250",
            "telephone_number": "912-882-3800",
            "fax_number": "912-882-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 LINDSEY LN STE B",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486923",
            "telephone_number": "912-882-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHORSE HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-16",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "CARLENE",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "912-882-3800",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Joel Lassiter, DMD
• Payton Lee, APC
• Sarah Lee
• Sara Lentz, SLP
• Samantha Ann Liddy, ATC
• Katie Linkous, CFY
• Shamekia Louise Louis, OT
• Yvika Arre Love, FNP-C
• Luxottica of America Inc
• Lyons Home Care LLC

• Professional Counselor in Kingsland, GA
• Providers in Kingsland, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.