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General NPI Number Information
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NPI Number | 1851288617
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Entity Type | Organization
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Legal Business Name | LIGHTHOUSE COUNSELING AND WELLNESS, PLLC
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Dates
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Enumeration Date | 06/23/2025
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 6208 CREFT CIR STE 234B
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City | LAKE PARK
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State | NC
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Zip | 28079-6598
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Country | US
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Telephone | 704-292-0522
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Fax |
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Provider Business Mailing Address
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Address Line | 6208 CREFT CIR STE 234B
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City | LAKE PARK
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State | NC
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Zip | 28079-6598
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Country | US
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Telephone | 704-292-0522
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ERIN SHROYER
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Credential | LCMHC
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Telephone | 704-292-0522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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