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LIGHTHOUSE BEHAVIORAL HEALTH, LLC WITHDRAWAL MANAGEMENT SERVICE
NPI 1326507765
Substance Abuse Rehabilitation Facility in Baltimore, MD

Active since March 15, 2019
1119 E MONUMENT ST, BALTIMORE, MD 21202(443) 705-5056 Get Directions Write a Review

NPPES record last updated: March 15, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lighthouse Behavioral Health, Llc Withdrawal Management Service NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIGHTHOUSE BEHAVIORAL HEALTH, LLC WITHDRAWAL MANAGEMENT SERVICE (NPI 1326507765) is a healthcare organization registered as a substance abuse rehabilitation facility in Baltimore, Maryland and active in the NPI registry since March 2019. The organization lists Vernon O Holmes, Ceo, as its authorized official.

NPPES Registry Identity

NPI1326507765
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameLIGHTHOUSE BEHAVIORAL HEALTH, LLC WITHDRAWAL MANAGEMENT SERVICE
Location Address1119 E MONUMENT STBaltimore, MD 21202-4119
Mailing Address1119 E Monument StBaltimore, MD 21202-4119 · (443) 705-5056
Phone(443) 705-5056
Organization SubpartNo
Authorized OfficialVernon O HolmesCeo · (202) 651-1857
Enumeration DateMarch 15, 2019
✔ NPI 1326507765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
1119 E MONUMENT ST, Baltimore, MD 21202
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHYTIERA FOWLKES
Counselor (Addiction (Substance Use Disorder))
1119 E MONUMENT ST
BALTIMORE, MD 21202
Baltimore City (443) 708-3823
FREEDOM HEALTHCARE, LLC
Clinic/Center (Primary Care)
1119 E MONUMENT ST
BALTIMORE, MD 21202
Baltimore City (667) 770-6320
FREEDOM HEALTHCARE, LLC
Family Medicine
1119 E MONUMENT ST
BALTIMORE, MD 21202
Baltimore City (443) 708-5056
LIGHTHOUSE BEHAVIORAL HEALTH CENTER, LLC
Substance Abuse Rehabilitation Facility
1119 E MONUMENT ST
BALTIMORE, MD 21202
Baltimore City (443) 705-5056
MS. FRANKIE DARLENE PAYNE NP
Nurse Practitioner (Family)
1119 E MONUMENT ST
BALTIMORE, MD 21202
Baltimore City (667) 770-6320
LIGHTHOUSE BEHAVIORAL HEALTH CENTER LLC
Clinic/Center
1119 E MONUMENT ST
BALTIMORE, MD 21202
Baltimore City (443) 708-5056

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lighthouse Behavioral Health, LLC Withdrawal Management Service's NPI number?

The NPI number for Lighthouse Behavioral Health, LLC Withdrawal Management Service is 1326507765. It was assigned to this organization in the NPPES registry on March 15, 2019.

Where is Lighthouse Behavioral Health, LLC Withdrawal Management Service located?

Lighthouse Behavioral Health, LLC Withdrawal Management Service is located at 1119 E Monument St, Baltimore, MD 21202. The listed phone number is (443) 705-5056.

What is Lighthouse Behavioral Health, LLC Withdrawal Management Service's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Lighthouse Behavioral Health, LLC Withdrawal Management Service was last updated on March 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.