| Organization Name: | LIGHTHOUSE COUNSELING CENTER, PC |
| NPI Number: | 1003081001 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BARBARA JEANNE SMITH (VICE-PRESIDENT) |
| Mailing Address: | 629 N Washington Hwy Suite F Ashland |
| State: | VA US |
| Postal Code: | 230051326 |
| Phone Number: | 8047981335 |
| Fax Number: | 8047981909 |
| NPI Enumeration Date: | 04/30/2008 |
| NPI Last Update Date: | 06/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 0904001322 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |