Provider Demographics
NPI:1730295726
Name:LIGHTHOUSE CHRISTIAN SERVICES
Entity Type:Organization
Organization Name:LIGHTHOUSE CHRISTIAN SERVICES
Other - Org Name:LIGHTHOUSE COUNSELING SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF COUNSELING
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSTON
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC-S
Authorized Official - Phone:614-337-1986
Mailing Address - Street 1:5000 SUNBURY RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43230-1136
Mailing Address - Country:US
Mailing Address - Phone:614-337-1986
Mailing Address - Fax:614-337-2936
Practice Address - Street 1:5000 SUNBURY RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43230-1136
Practice Address - Country:US
Practice Address - Phone:614-337-1986
Practice Address - Fax:614-337-2936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No251V00000XAgenciesVoluntary or Charitable
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH=========OtherTAX ID