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General NPI Number Information
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NPI Number | 1821442070
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Entity Type | Organization
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Legal Business Name | LIGHTHOUSE COUNSELING ASSOCIATES
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Dates
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Enumeration Date | 04/13/2016
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 3047 E MAIN RD STE 2
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City | PORTSMOUTH
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State | RI
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Zip | 02871-4263
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Country | US
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Telephone | 401-684-1787
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Fax | 833-339-3848
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Provider Business Mailing Address
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Address Line | 3047 E MAIN RD STE 2
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City | PORTSMOUTH
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State | RI
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Zip | 02871-4263
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Country | US
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Telephone | 401-684-1787
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Fax | 833-339-3848
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Authorized Official
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Title or Position | CEO
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Name | MISS DANIELLE THIBERT
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Credential | LICSW
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Telephone | 774-644-0483
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | ISW01981
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License Number State | RI
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