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LIGHTHOUSE TREATMENT CENTERS OF GEORGIA LLC
NPI 1326879990
Clinic/Center - Methadone in Ellijay, GA

Active since August 13, 2024CLIA 11D2310663 · Waiver
37 KIKER ST, ELLIJAY, GA 30540(706) 636-5483(706) 636-5495 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2025, Aug 13, 2024 (2 updates tracked since 2024).

About Lighthouse Treatment Centers Of Georgia Llc NPPES

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

LIGHTHOUSE TREATMENT CENTERS OF GEORGIA LLC (NPI 1326879990) is a healthcare organization registered as a methadone in Ellijay, Georgia and active in the NPI registry since August 2024. The organization holds a CLIA Waiver certificate valid through September 7, 2026 and lists Donna Louhichi, Coo, as its authorized official.

NPPES Registry Identity

NPI1326879990
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameLIGHTHOUSE TREATMENT CENTERS OF GEORGIA LLC
Location Address37 KIKER STEllijay, GA 30540-3758
Mailing Address37 Kiker StEllijay, GA 30540-3758 · (706) 636-5483 · Fax (706) 636-5495
Phone(706) 636-5483
Fax(706) 636-5495
Organization SubpartNo
Authorized OfficialDonna LouhichiCoo · (706) 636-5483
Enumeration DateAugust 13, 2024
Last NPPES UpdateOctober 28, 20252 updates tracked since enumeration
NPPES CertifiedOctober 28, 2025
✔ NPI 1326879990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
37 KIKER ST, Ellijay, GA 30540
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2310663

Lighthouse Treatment Centers Of Georgia, LLC · Ellijay, GA
Active · expires Sep 7, 2026
CLIA Number11D2310663
Laboratory TypeNarcotic Treatment Prog
Certificate Effective DateSeptember 8, 2024
Certificate Expiration DateSeptember 7, 2026
Laboratory DirectorDr. Raymond Mckoy
Laboratory Phone(706) 636-5483
Laboratory LocationLighthouse Treatment Centers Of Georgia, LLC37 Kiker Street, Ellijay, GA 30540
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

GATEWAY TREATMENT CENTERS, LLC
Clinic/Center
37 KIKER ST
ELLIJAY, GA 30540
Gilmer County (706) 703-2517
DONNA LOUHICHI
Counselor (Addiction (Substance Use Disorder))
37 KIKER ST
ELLIJAY, GA 30540
Gilmer County (336) 486-7782

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 Treatment Centers Of Georgia LLC's NPI number?

The NPI number for Lighthouse Treatment Centers Of Georgia LLC is 1326879990. It was assigned to this organization in the NPPES registry on August 13, 2024.

Where is Lighthouse Treatment Centers Of Georgia LLC located?

Lighthouse Treatment Centers Of Georgia LLC is located at 37 Kiker St, Ellijay, GA 30540. The listed phone number is (706) 636-5483.

What is Lighthouse Treatment Centers Of Georgia LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Does Lighthouse Treatment Centers Of Georgia LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2310663) is associated with this NPI, valid through September 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lighthouse Treatment Centers Of Georgia LLC was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.