| Lighthouse Holistic Wellness | |
|
1145 Zonolite Rd Ne Ste 10 Atlanta GA 30306-2017 | |
| (678) 984-9265 | |
| Not Available |
| Full Name | Lighthouse Holistic Wellness |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1145 Zonolite Rd Ne Ste 10, Atlanta, Georgia |
| Authorized Official Name and Position | Jessica Greathouse (PROVIDER) |
| Authorized Official Contact | 6789849265 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Holistic Wellness 1145 Zonolite Rd Ne Ste 10 Atlanta GA 30306-2017 Ph: (678) 984-9265 | Lighthouse Holistic Wellness 1145 Zonolite Rd Ne Ste 10 Atlanta GA 30306-2017 Ph: (678) 984-9265 |
| NPI Number | 1063031011 |
|---|---|
| Provider Enumeration Date | 04/09/2020 |
| Last Update Date | 04/09/2020 |
| Certification Date | 04/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063031011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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