Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lighthouse Psychological Clinic, PLLC

Organization Mental Health Counselor · NPI 1700501087

Lighthouse Psychological Clinic, PLLC is a Mental Health Counselor in Shelby Twp, Michigan. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

52188 Van Dyke Ave Ste 300
Shelby Twp, MI 48316-3575
Phone: (586) 244-8211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1700501087
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Hart — President · (586) 244-8211
NPI enumeratedOctober 10, 2022
Last updated in NPPESOctober 10, 2022
Certification dateOctober 8, 2022
Mailing address52188 Van Dyke Ave Ste 300, Shelby Twp, MI 48316-3575

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