| Lantern Light Counseling, Llc | |
|
605 Washington Ave North Haven CT 06473-1123 | |
| (203) 767-5638 | |
| Not Available |
| Full Name | Lantern Light Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 605 Washington Ave, North Haven, Connecticut |
| Authorized Official Name and Position | Daniel Battistoni (OWNER) |
| Authorized Official Contact | 2037675638 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lantern Light Counseling, Llc 605 Washington Ave North Haven CT 06473-1123 Ph: (203) 767-5638 | Lantern Light Counseling, Llc 605 Washington Ave North Haven CT 06473-1123 Ph: (203) 767-5638 |
| NPI Number | 1215595236 |
|---|---|
| Provider Enumeration Date | 06/04/2019 |
| Last Update Date | 06/04/2019 |
| Medicare PECOS PAC ID | 0042651440 |
|---|---|
| Medicare Enrollment ID | O20240516001765 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215595236 | NPI | - | NPPES |
| 008037091 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Daniel Battistoni |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023304706 PECOS PAC ID: 0547612285 Enrollment ID: I20240118002908 |
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