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NPI Code Detail

MEDICARE: BENJAMIN K D LIGHTER LPC

MEDICARE: BENJAMIN K D LIGHTER LPC
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
1101YP2500XProfessional Counselor
2101Y00000XCounselorLPC05082AL

General Provider Information

NPI Number : 1649846734
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN K D LIGHTER LPC
Provider Business Mailing Address
First Line : 4310 BALWIN DR SW
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35805-5606
Country : US
Telephone Number : 240-601-4828
Fax Number :
Provider Business Practice Location Address
First Line : 1101 MCMURTRIE DR NW STE 4
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35806-2469
Country : US
Telephone Number : 240-601-4828
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2021
Last Update Date : 11/11/2023

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Directions to “ BENJAMIN K D LIGHTER LPC” Practice Location

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