Provider Demographics
NPI:1821408485
Name:LIGHTHOUSE COUNSELING SERVICES INCORPORATED
Entity Type:Organization
Organization Name:LIGHTHOUSE COUNSELING SERVICES INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST, ADMINISTRATOR, BOARD
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:MESSER
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:270-689-0073
Mailing Address - Street 1:5342 WILLOWBROOK LOOP
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42301-8396
Mailing Address - Country:US
Mailing Address - Phone:270-316-7029
Mailing Address - Fax:270-689-0083
Practice Address - Street 1:5342 WILLOWBROOK LOOP
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42301-8396
Practice Address - Country:US
Practice Address - Phone:270-316-7029
Practice Address - Fax:270-689-0083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-05
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0843251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health