Provider Demographics
NPI:1851947642
Name:LIGHTHOUSE COUNSELING SERVICES, LLC.
Entity Type:Organization
Organization Name:LIGHTHOUSE COUNSELING SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCPC, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEIGH
Authorized Official - Middle Name:KAYE
Authorized Official - Last Name:FREEDLAND
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:443-470-6472
Mailing Address - Street 1:18 GOUCHER WOODS CT
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-5655
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:18 GOUCHER WOODS CT
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-5655
Practice Address - Country:US
Practice Address - Phone:443-470-6472
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-16
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty