Lighthouse Child & Family Services
Organization Active NPI Community/Behavioral Health Agency · Milaca, MN
NPI 1487093944 · NPPES record last updated Jun 18, 2013
Key facts
- NPI
- 1487093944
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 1689861197 (MN)
- Legal business name
- LIGHTHOUSE CHILD & FAMILY SERVICES
- Practice address
- 160 3Rd Ave NW
Milaca, MN 56353-1555 - Phone
- (320) 983-2335
- NPI assigned
- Jun 18, 2013
- Organization subpart
- No
Authorized official
- Name
- Julie Ann Hanenburg, 3209832335
- Title
- Clinical Director/Owner
- Phone
- (320) 983-2335
Corporate family (same tax ID) 1
Practitioners 1
-
Julie Ann Hanenburg, LICSW
National Provider Directory
- Tax ID family
- Lighthouse Child Family Services
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 1689861197 | MN | Yes |
Addresses
Primary practice location
160 3Rd Ave NW
Milaca, MN 56353-1555
Mailing address
160 3Rd Ave NW
Milaca, MN 56353-1555
Phone (320) 983-2335
Other providers in Milaca, MN
- Sylvia Ann Kosloski
- Christian Dempsey Kruse
- Neil Laitala
- Jeffrey Donald Larson
- Morgan Rae Lasalle
- Katie Lynn Mason
- Kelly Renae Mau
- Michael
- Milaca Family Dental, LLC
- Mille Lacs Chiropractics
All providers in Milaca, MN · Community/Behavioral Health Agency in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.