Lighthorse Healthcare, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LIGHTHORSE HEALTHCARE, INC.

Practice address

2060 Dan Proctor Dr
Suite 3300
Saint Marys, GA 31558-3894

Phone

(912) 882-3800

NPI assigned

Jul 15, 2014

Last updated

Jul 15, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carlene Taylor, ED.D, LPC, CPCS, NCC

Title

Executive Director

Phone

(912) 882-3800

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Lighthorse Healthcare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lighthorse Healthcare Inc.

  • Professional Counselor
  • Kingsland, GA
  • NPI 1144666124
  NPD tax ID

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1881001576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5250",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315585250",
            "telephone_number": "912-882-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 DAN PROCTOR DR",
            "address_2": "SUITE 3300",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583894",
            "telephone_number": "912-882-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHORSE HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "CARLENE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "912-882-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D, LPC, CPCS, NCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1174899454",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Lewington, RBT
• Monica Lewis
• Carla Ann Leyen, MSPT, MOMT
• Life Line Home Care Inc
• Light Horse Healthcare Inc (LightHorse Inc)
• Lighthorse Psychiatry LLC
• Roberta Lindau, LCSW
• John-Henry Lipian, AA
• Little Bridges Speech Therapy, LLC.
• Longevity Care Services Inc

• Mental Health Clinic/Center (Including Community Mental Health Center) in Saint Marys, GA
• Providers in Saint Marys, GA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.