| J Smith Lighthouse Counseling Services L.l.c | |
|
34921 Us Highway 19 N Ste 310 Palm Harbor FL 34684-1969 | |
| (727) 409-6239 | |
| (727) 771-0816 |
| Full Name | J Smith Lighthouse Counseling Services L.l.c |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 34921 Us Highway 19 N Ste 310, Palm Harbor, Florida |
| Authorized Official Name and Position | Joanna Smith (CEO) |
| Authorized Official Contact | 7274096239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J Smith Lighthouse Counseling Services L.l.c 702 1st Ct Palm Harbor FL 34684-3802 Ph: (727) 409-6239 | J Smith Lighthouse Counseling Services L.l.c 34921 Us Highway 19 N Ste 310 Palm Harbor FL 34684-1969 Ph: (727) 409-6239 |
| NPI Number | 1962962662 |
|---|---|
| Provider Enumeration Date | 03/20/2019 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962962662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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