Lighthouse Therapeutics

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

LIGHTHOUSE THERAPEUTICS

Practice address

437A Highway 601 S
Lugoff, SC 29078-8918

Phone

(803) 900-4020

Fax

(803) 753-9362

NPI assigned

Sep 8, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Deidra M Glover, OTR/L

Title

Owner

Phone

(803) 900-4020

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mandi Hamilton, PTA

  • Physical Therapy Assistant
  • Lugoff, SC
  • NPI 1407205073
  NPD (past)

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1831646629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1238",
            "city": "LUGOFF",
            "state": "SC",
            "postal_code": "290781238",
            "telephone_number": "803-900-4020",
            "fax_number": "803-753-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437A HIGHWAY 601 S",
            "city": "LUGOFF",
            "state": "SC",
            "postal_code": "290788918",
            "telephone_number": "803-900-4020",
            "fax_number": "803-753-9362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE THERAPEUTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "DEIDRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-900-4020",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Adams Knox
• Harry J Koutroulakis, D.M.D.
• Yolanda Laboy
• Lifeline Ambulance
• Lighthouse Therapeutics
• Lighthouse Transit
• McKenzie Elyse Lillia
• Kelly Ann Long, AU.D.
• Debra C Lowsky, MS, CCC-SLP
• Lugoff Family Dentistry, LLC

• Behavior Analyst in Lugoff, SC
• Providers in Lugoff, SC by specialty
• Behavior Analyst in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.