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Lighthouse Therapy Services, LLC

Details

Name: Lighthouse Therapy Services, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 27 Sep 2024 (4 months ago)
Entity Number: 001-156-310
Register Number: 001156310
ZIP code: 35640
County: Morgan
Place of Formation: Alabama
Registered Office Street Address: 410 W Main St., Unit CHartselle, AL 35640
Registered Office Mailing Address: 171 Mt. Tabor RoadHartselle, AL 35640

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1710708110 2024-10-18 2024-10-18 PO BOX 55, HARTSELLE, AL, 356400055, US 410 MAIN ST W STE C, HARTSELLE, AL, 356402428, US

Contacts

Phone +1 256-502-5116

Authorized person

Name STEPHANIE KENNEY
Role MANAGER
Phone 2567363746

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary Yes

Agent

Name Role Address
Kenney, Stephanie Agent 410 W Main St., Unit CHartselle, AL 35640

Organizer

Name Role Address
Kenney, Stephanie Organizer 410 W Main St., Unit CHartselle, AL 35640
Kenney, Erin Organizer 410 W Main St., Unit CHartselle, AL 35640

Date of last update: 30 Sep 2024

Sources: Alabama Secretary of State