Provider Demographics
NPI:1609753490
Name:LIGHTHOUSE HOPE & HEALING LLC
Entity type:Organization
Organization Name:LIGHTHOUSE HOPE & HEALING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BURBRIDGE
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LPCC-S
Authorized Official - Phone:330-249-3960
Mailing Address - Street 1:PO BOX 49
Mailing Address - Street 2:
Mailing Address - City:BURTON
Mailing Address - State:OH
Mailing Address - Zip Code:44021-0049
Mailing Address - Country:US
Mailing Address - Phone:330-249-3960
Mailing Address - Fax:
Practice Address - Street 1:14596 BROADWOOD DR
Practice Address - Street 2:
Practice Address - City:BURTON
Practice Address - State:OH
Practice Address - Zip Code:44021-9509
Practice Address - Country:US
Practice Address - Phone:330-249-3960
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty