The Lighthouse Counseling Clinic, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

00958545 Issued in GA

Legal business name

THE LIGHTHOUSE COUNSELING CLINIC, INC.

Practice address

1514 Rock Quarry Rd
Stockbridge, GA 30281-5047

Phone

(770) 474-1946

Fax

(770) 389-9310

NPI assigned

Nov 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Luann Callaway, PH.D.

Title

Ceo

Phone

(770) 474-1946

Specialties & licenses 2

Addresses

Other names 1

• Lighthouse Counseling Center Other name

Locations

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1295916617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 ROCK QUARRY RD",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815047",
            "telephone_number": "770-474-1946",
            "fax_number": "770-389-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 ROCK QUARRY RD",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815047",
            "telephone_number": "770-474-1946",
            "fax_number": "770-389-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LIGHTHOUSE COUNSELING CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "CALLAWAY",
        "authorized_official_first_name": "LUANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-474-1946",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "GA",
            "license": "00958545",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lighthouse Counseling Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Case Management Agency in Stockbridge, GA
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• Case Management Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.