| Organization Name: | LIGHTHOUSE INTEGRATIVE COUNSELING SERVICES LCSW MARRIAGE AND FAMILY TH |
| NPI Number: | 1699135566 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHELLE D CONELLI (FOUNDER/DIRECTOR) |
| Mailing Address: | 414 Main St Ste 203a Port Jefferson |
| State: | NY US |
| Postal Code: | 117771686 |
| Phone Number: | 6314783292 |
| Fax Number: | 6314761302 |
| NPI Enumeration Date: | 03/04/2016 |
| NPI Last Update Date: | 03/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 106H00000X |
| License Number: | 000230 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Marriage & Family Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |