OrganizationLighthouse Therapy & Consulting, PllcCommunity/Behavioral HealthAgenciesPractice Address189 Wind Chime Ct Ste 202, Raleigh, NC 27615-6480(919) 705-0679PECOS EnrollmentBased on the most recent information from CMS, provider Lighthouse Therapy & Consulting, Pllc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1508589516Provider TypeOrganizationFull NameLighthouse Therapy & Consulting, PllcSubpartNoEnumeration Date9/23/2022Last Updated11/16/2022Contact InformationPractice LocationPractice Address189 Wind Chime Ct Ste 202, Raleigh, NC 27615-6480Phone(919) 705-0679FaxUnlisted FaxMailing LocationMailing Address189 Wind Chime Ct Ste 202, Raleigh, NC 27615-6480PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameKing, Deeariah (Owner And Therapist)Phone(919) 705-0679Provider TaxonomiesCodeDescriptionLicenseCode251S00000XPrimaryDescriptionCommunity/Behavioral HealthAgenciesLicenseUnlisted Issuer