| Guiding Light Counseling And Consulting Pllc | |
|
5652 36th Ave S Suite 114 Fargo ND 58104 | |
| (701) 566-0057 | |
| Not Available |
| Full Name | Guiding Light Counseling And Consulting Pllc |
|---|---|
| Speciality | Counselor |
| Location | 5652 36th Ave S, Fargo, North Dakota |
| Authorized Official Name and Position | Stephanie Schafer (PRESIDENT/OWNER) |
| Authorized Official Contact | 7015660057 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Guiding Light Counseling And Consulting Pllc 5652 36th Ave S Suite 114 Fargo ND 58104 Ph: () - | Guiding Light Counseling And Consulting Pllc 5652 36th Ave S Suite 114 Fargo ND 58104 Ph: (701) 566-0057 |
| NPI Number | 1205609799 |
|---|---|
| Provider Enumeration Date | 11/06/2023 |
| Last Update Date | 12/17/2024 |
| Certification Date | 12/17/2024 |
| Medicare PECOS PAC ID | 0547795650 |
|---|---|
| Medicare Enrollment ID | O20241126004305 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205609799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Stephanie M Schafer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164980645 PECOS PAC ID: 1456886563 Enrollment ID: I20241126004353 |
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