Lighthouse Behavioral Health Center at 1114 E 20TH Street LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

LIGHTHOUSE BEHAVIORAL HEALTH CENTER AT 1114 E 20TH STREET LLC

Practice address

1114 E 20TH St
Baltimore, MD 21218-6312

Phone

(443) 708-5056

NPI assigned

Aug 10, 2023

Organization subpart

Yes

Parent organization

LIGHTHOUSE BEHAVIORAL HEALTH CENTER LLCAs reported in NPPES

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

Authorized official

Name

Vernon Holmes Jr.

Title

Ceo

Phone

(443) 320-2706

Specialties & licenses 1

Addresses

Other names 2

• Lighthouse Behavioral Health Center at 1114 E 20th Street Doing business as
• SUD RES AT 1114 E 20TH STREET Doing business as

Part of

Lighthouse Behavioral Health Center at 1114 E 20TH Street LLC

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1740963248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 E MONUMENT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212024119",
            "telephone_number": "443-708-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 E 20TH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212186312",
            "telephone_number": "443-708-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE BEHAVIORAL HEALTH CENTER AT 1114 E 20TH STREET LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIGHTHOUSE BEHAVIORAL HEALTH CENTER LLC",
        "enumeration_date": "2023-08-10",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "VERNON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-320-2706",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lighthouse Behavioral Health Center at 1114 E 20th Street",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SUD RES AT 1114 E 20TH STREET",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kyla C Liggett-Creel, LCSW-C
• Light Rock LLC
• Beng Cheah Light, M.D.
• Paul D Light, M.D.
• Kathy Camellia Lightfoot, PHYSICIAN ASSISTANTS
• Lighthouse Behavioral Health Center at 1116 E 20TH Street LLC
• Lighthouse Behavioral Health Center at 1723 Gwynns Falls Parkway LLC
• Lighthouse Behavioral Health Center at 2140 Druid Hill Avenue LLC
• Lighthouse Behavioral Health Center LLC
• Lighthouse Behavioral Health Center, LLC

• Substance Abuse Rehabilitation Facility in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Substance Abuse Rehabilitation Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.