| Lighthouse Therapeutics | |
|
437a Highway 601 S Lugoff SC 29078-8918 | |
| (803) 900-4020 | |
| (803) 753-9362 |
| Full Name | Lighthouse Therapeutics |
|---|---|
| Speciality | Behavior Analyst |
| Location | 437a Highway 601 S, Lugoff, South Carolina |
| Authorized Official Name and Position | Deidra M Glover (OWNER) |
| Authorized Official Contact | 8039004020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Therapeutics Po Box 1238 Lugoff SC 29078-1238 Ph: (803) 900-4020 | Lighthouse Therapeutics 437a Highway 601 S Lugoff SC 29078-8918 Ph: (803) 900-4020 |
| NPI Number | 1831646629 |
|---|---|
| Provider Enumeration Date | 09/08/2016 |
| Last Update Date | 08/07/2025 |
| Certification Date | 08/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831646629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 261QR0400X | Clinic/center - Rehabilitation | (* (Not Available)) | Secondary |
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Lighthouse Therapeutics Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 437a Highway 601 S, Lugoff, SC 29078 Phone: 803-900-4020 Fax: 803-753-9362 | |
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