LIGHTHOUSE PSYCHOLOGICAL CLINIC, PLLC
NPI 1700501087
Counselor - Mental Health in Shelby Twp, MI

Active since October 10, 2022
52188 VAN DYKE AVE STE 300, SHELBY TWP, MI 48316(586) 244-8211 Get Directions Write a Review

NPPES record last updated: October 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lighthouse Psychological Clinic, Pllc NPPES

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

LIGHTHOUSE PSYCHOLOGICAL CLINIC, PLLC (NPI 1700501087) is a healthcare organization registered as a mental health in Shelby Twp, Michigan and active in the NPI registry since October 2022. The organization lists Jonathan Hart, President, as its authorized official.

NPPES Registry Identity

NPI1700501087
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameLIGHTHOUSE PSYCHOLOGICAL CLINIC, PLLC
Location Address52188 VAN DYKE AVE STE 300Shelby Twp, MI 48316-3575
Mailing Address52188 Van Dyke Ave Ste 300Shelby Twp, MI 48316-3575 · (586) 244-8211
Organization SubpartNo
Authorized OfficialJonathan HartPresident · (586) 244-8211
Enumeration DateOctober 10, 2022
NPPES CertifiedOctober 8, 2022
NPI 1700501087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
52188 VAN DYKE AVE STE 300, Shelby Twp, MI 48316

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

Counselor (Professional)
52188 VAN DYKE AVE STE 300
SHELBY TOWNSHIP, MI 48316
Social Worker (Clinical)
52188 VAN DYKE AVE STE 300
SHELBY TOWNSHIP, MI 48316
Counselor (Professional)
52188 VAN DYKE AVE STE 300
SHELBY TOWNSHIP, MI 48316
Community/Behavioral Health
52188 VAN DYKE AVE STE 300
SHELBY TOWNSHIP, MI 48316
Counselor (Professional)
52188 VAN DYKE AVE STE 300
SHELBY TOWNSHIP, MI 48316

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 Psychological Clinic, PLLC's NPI number?

The NPI number for Lighthouse Psychological Clinic, PLLC is 1700501087. It was assigned to this organization in the NPPES registry on October 10, 2022.

Where is Lighthouse Psychological Clinic, PLLC located?

Lighthouse Psychological Clinic, PLLC is located at 52188 Van Dyke Ave Ste 300, Shelby Twp, MI 48316. The listed phone number is (586) 244-8211.

What is Lighthouse Psychological Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Lighthouse Psychological Clinic, PLLC was last updated on October 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.