Provider Demographics
NPI:1649846734
Name:LIGHTER, BENJAMIN K D (LPC)
Entity type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:K D
Last Name:LIGHTER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4310 BALWIN DR SW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35805-5606
Mailing Address - Country:US
Mailing Address - Phone:240-601-4828
Mailing Address - Fax:
Practice Address - Street 1:1101 MCMURTRIE DR NW STE 4
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-2469
Practice Address - Country:US
Practice Address - Phone:240-601-4828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-31
Last Update Date:2023-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
ALLPC05082101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional