Lighthouse Clinic, Inc.

LBN: Lighthouse Clinic, Inc.
Lighthouse Clinic, Inc. is an health care organization with primary practice located at 2577 N Downer Ave Suite 215, Milwaukee WI 53211-4253. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Lighthouse Clinic, Inc. can be contacted via phone (414) 964-9200, or through Mendelberg, Hava E via phone (414) 964-9200.

Contact Information

Primary practice address
2577 N Downer Ave Suite 215 Milwaukee WI 53211-4253
Phone: (414) 964-9200
Fax: (414) 964-4816
Website:
Map and Directions
Authorized official contact:
Name: Mendelberg, Hava E PHD
Phone: (414) 964-9200

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1265451280
LBN Legal business name Lighthouse Clinic, Inc.
DBA Doing business as
Authorized official Mendelberg, Hava E PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2006
Last updated Jul 11th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265451280 NPPES
Wisconsin MEDICAID 42149800

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