Provider Demographics
NPI:1982207361
Name:LANTERN'S LIGHT COUNSELING SERVICES
Entity type:Organization
Organization Name:LANTERN'S LIGHT COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:IAN
Authorized Official - Last Name:FRITZSCHE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:844-365-7676
Mailing Address - Street 1:72 E HOLLY AVE STE 107
Mailing Address - Street 2:
Mailing Address - City:PITMAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08071-1197
Mailing Address - Country:US
Mailing Address - Phone:856-818-4477
Mailing Address - Fax:856-818-4477
Practice Address - Street 1:72 E HOLLY AVE STE 107
Practice Address - Street 2:
Practice Address - City:PITMAN
Practice Address - State:NJ
Practice Address - Zip Code:08071-1197
Practice Address - Country:US
Practice Address - Phone:856-818-4477
Practice Address - Fax:856-818-4477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-18
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty