Provider Demographics
NPI:1871467340
Name:LIGHTNER, JOSH (BS, CADS)
Entity type:Individual
Prefix:
First Name:JOSH
Middle Name:
Last Name:LIGHTNER
Suffix:
Gender:M
Credentials:BS, CADS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1218 PLEASANT VALLEY BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16602-4762
Mailing Address - Country:US
Mailing Address - Phone:814-946-5179
Mailing Address - Fax:814-946-5170
Practice Address - Street 1:1218 PLEASANT VALLEY BLVD STE C
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16602-4762
Practice Address - Country:US
Practice Address - Phone:814-946-5179
Practice Address - Fax:814-946-5170
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-30
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)