Mrs Christina Louise Sanni, | |
1026 Northeast Dr Ste B, Jefferson City, MO 65109-2517 | |
(573) 690-7919 | |
(573) 636-7771 |
Full Name | Mrs Christina Louise Sanni |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 1026 Northeast Dr Ste B, Jefferson City, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063949659 | NPI | - | NPPES |
490042882 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2017014822 (Missouri) | Primary |
Entity Name | Lighthouse Of Hope & Healing Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073135620 PECOS PAC ID: 4981053758 Enrollment ID: O20231206001397 |
Mailing Address | Practice Location Address |
---|---|
Mrs Christina Louise Sanni, Po Box 105775, Jefferson City, MO 65110-5775 Ph: (573) 690-7919 | Mrs Christina Louise Sanni, 1026 Northeast Dr Ste B, Jefferson City, MO 65109-2517 Ph: (573) 690-7919 |
Ms. Alane Elizabeth Roath, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 227 Metro Dr, Jefferson City, MO 65109 Phone: 888-403-1071 | |
Stephen Dittmer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 227 Metro Dr, Jefferson City, MO 65109 Phone: 888-403-1071 | |
Susan Diane Morgan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 Metro Dr Ste B, Jefferson City, MO 65109 Phone: 573-634-4591 Fax: 573-634-4792 | |
Rhonda Karyl Myers, PLPC Counselor Medicare: Medicare Enrolled Practice Location: 204 Metro Dr, Suite B, Jefferson City, MO 65109 Phone: 573-634-4591 Fax: 573-634-4792 | |
Adam Hatton, Counselor Medicare: Medicare Enrolled Practice Location: 210 Hoover St, Jefferson City, MO 65109 Phone: 573-632-4321 | |
Chloe Payton Rimer, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1905 Stadium Blvd, Jefferson City, MO 65109 Phone: 888-403-1071 | |
Gail R Black, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2202 Marilyn Dr, Jefferson City, MO 65109 Phone: 573-469-5263 |