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

Lighthouse Youth Services Inc

Organization Addiction (Substance Use Disorder) Counselor · NPI 1053389841

Lighthouse Youth Services Inc is an Addiction (Substance Use Disorder) Counselor in Bainbridge, Ohio. Licensed in Ohio. Registered with an NPI since 2006.

Licensed in
OH
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1071 Tong Hollow Rd
Bainbridge, OH 45612-9421
Phone: (740) 634-3094
Fax: (740) 634-3047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X (OH)
Clinical Medical Laboratory Taxonomy 291U00000X

Record details

NPI number1053389841
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thuy Kolik — Vice President, Cfo & Cao · (513) 487-7106
Other names Lighthouse Youth & Family Services
NPI enumeratedMarch 9, 2006
Last updated in NPPESApril 7, 2025
Certification dateApril 7, 2025
Mailing address401 E McMillan St, Cincinnati, OH 45206-1922

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