Lighthouse Treatment Center

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

LIGHTHOUSE TREATMENT CENTER

Practice address

3919 S Highway 14
BLDG a
Greenville, SC 29615-6138

Phone

(864) 288-2006

Fax

(864) 288-1678

NPI assigned

Mar 23, 2016

Organization subpart

No

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

Authorized official

Name

Thaer Joudeh, MDNPI 1851355572

Title

MD

Phone

(864) 288-2006

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thaer A Joudeh, MD

  • Internal Medicine Physician
  • Greenville, SC
  • NPI 1851355572
  NPD (past) Authorized official
• Frederick W Veit, M.D.

  • Addiction Medicine (Internal Medicine) Physician
  • Greer, SC
  • NPI 1134133705
  NPD (past)

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458691200000",
    "number": "1407218084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3919 S HIGHWAY 14",
            "address_2": "BLDG A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296156138",
            "telephone_number": "864-288-2006",
            "fax_number": "864-288-1678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3919 S HIGHWAY 14",
            "address_2": "BLDG A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296156138",
            "telephone_number": "864-288-2006",
            "fax_number": "864-288-1678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-23",
        "last_updated": "2016-03-23",
        "status": "A",
        "authorized_official_last_name": "JOUDEH",
        "authorized_official_first_name": "THAER",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "864-288-2006",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Coaching Institute, Inc.
• Life Health and Wellness Medical Center LLC
• Life Transitions
• Lifecycle LLC
• Lifehme, Inc.
• Erica Zollman Ligon, M.ED., CCC-SLP
• Christina P Likes, SLP
• Creighton Edward Likes III, M.D.
• Sara Lilly, M.D.
• Taylor Lilly

• Substance Abuse Rehabilitation Facility in Greenville, SC
• Providers in Greenville, SC by specialty
• Substance Abuse Rehabilitation Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.