Provider Demographics
NPI:1851288617
Name:LIGHTHOUSE COUNSELING AND WELLNESS, PLLC
Entity type:Organization
Organization Name:LIGHTHOUSE COUNSELING AND WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHROYER
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC
Authorized Official - Phone:704-292-0522
Mailing Address - Street 1:6208 CREFT CIR STE 234B
Mailing Address - Street 2:
Mailing Address - City:LAKE PARK
Mailing Address - State:NC
Mailing Address - Zip Code:28079-6598
Mailing Address - Country:US
Mailing Address - Phone:704-292-0522
Mailing Address - Fax:
Practice Address - Street 1:6208 CREFT CIR STE 234B
Practice Address - Street 2:
Practice Address - City:LAKE PARK
Practice Address - State:NC
Practice Address - Zip Code:28079-6598
Practice Address - Country:US
Practice Address - Phone:704-292-0522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty