The Lamplighter Center for Renewal, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

B56529 Issued in MA

Legal business name

THE LAMPLIGHTER CENTER FOR RENEWAL, INC.

Practice address

820 Pearl St
Brockton, MA 02301-4411

Phone

(508) 583-9800

Fax

(508) 583-9802

NPI assigned

Jun 25, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Theresa M Smith

Title

Executive Director

Phone

(508) 583-9800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367539200000",
    "number": "1174887152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 PEARL ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014411",
            "telephone_number": "508-583-9800",
            "fax_number": "508-583-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 PEARL ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014411",
            "telephone_number": "508-583-9800",
            "fax_number": "508-583-9802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LAMPLIGHTER CENTER FOR RENEWAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-25",
        "last_updated": "2013-05-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "508-583-9800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "B56529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.