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NPI Code Detail

MEDICARE: LIGHTHOUSE THERAPY CENTER

MEDICARE: LIGHTHOUSE THERAPY CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerQ1-0000820DE

General Provider Information

NPI Number : 1558534305
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIGHTHOUSE THERAPY CENTER
Provider Business Mailing Address
First Line : 30838 VINES CREEK RD
Second Line : SUITE 2B
City : DAGSBORO
State : DE
Zip : 19939-4385
Country : US
Telephone Number : 302-732-1310
Fax Number :
Provider Business Practice Location Address
First Line : 30838 VINES CREEK RD
Second Line : SUITE 2B
City : DAGSBORO
State : DE
Zip : 19939-4385
Country : US
Telephone Number : 302-732-1310
Fax Number :
Authorized Official
Title or Position : THERAPIST OWNER
Name : MS. DEBORAH ALIOTO MILLER
Credential : LCSW
Telephone Number : 302-732-1310
Provider Enumeration Date : 04/11/2008
Last Update Date : 04/23/2009

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Directions to “LIGHTHOUSE THERAPY CENTER ” Practice Location

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