Lighthouse Speech Therapy, Pllc

LBN: Lighthouse Speech Therapy, Pllc
Lighthouse Speech Therapy, Pllc is an health care organization with primary practice located at 203 W Main St , Rockton IL 61072-2418. The organization recently has only one registered license in Ambulatory Health Care Facilities / Hearing and Speech, which is considered as the primary health care specialty. Lighthouse Speech Therapy, Pllc can be contacted via phone (815) 957-0099, or through Mcwilliams, Stefanie via phone (815) 509-1995.

Contact Information

Primary practice address
203 W Main St Rockton IL 61072-2418
Phone: (815) 957-0099
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mcwilliams, Stefanie M.S., CCC-SLP
Phone: (815) 509-1995

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Hearing and Speech 261QH0700X

Profile Details

NPI number 1780385559
LBN Legal business name Lighthouse Speech Therapy, Pllc
DBA Doing business as
Authorized official Mcwilliams, Stefanie M.S., CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2023
Last updated Mar 16th, 2023 - about last year

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 1780385559 NPPES
Illinois MEDICAID 1891256327

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