NPI age
5 years
Enumerated 2021-04-13
● Active Type 2 · Organization
Lighthouse Professional Services Group, Llc
Lighthouse Professional Services Group, Llc is 1 of 5,813 mental health (counselor) organizations in Georgia.
Primary specialty
Mental Health (Counselor)
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Fortson-Hollis
Founder/ceo/lpc
Last NPPES update
2021-04-13
Source: CMS NPPES provider record
How this organization compares
Across 5813 active mental health (counselor) providers in Georgia.
NPI age
5 years
≈ at median (5 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2021 → 2021
2021-04Enumerated in NPPES
2021
2021
Where they practice
Primary practice location
2102 7th St
Columbus, GA 319063606
Mailing address
54 Ryan Loop
Phenix City, AL 368697412
Authorized official
Sharmekia Lashon Fortson-Hollis, LPC
Founder/ceo/lpc
📞 7063925008
Specialties
-
Counselor PrimaryCMS NPPES uses NUCC taxonomy code 101YM0800X for provider records classified as Mental Health within Counselor. The taxonomy identifies the category reported on the NPI record; it does not by itself verify services offered, current...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.