| Light Heart Counseling And Therapy Services, Llc | |
|
4845 W Lake Rd Suite 120 Erie PA 16505-2973 | |
| (814) 528-5323 | |
| (814) 725-0707 |
| Full Name | Light Heart Counseling And Therapy Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4845 W Lake Rd, Erie, Pennsylvania |
| Authorized Official Name and Position | Edward Thiry Iii (OWNER) |
| Authorized Official Contact | 8145285323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Light Heart Counseling And Therapy Services, Llc 4845 W Lake Rd Suite 120 Erie PA 16505-2973 Ph: (814) 528-5323 | Light Heart Counseling And Therapy Services, Llc 4845 W Lake Rd Suite 120 Erie PA 16505-2973 Ph: (814) 528-5323 |
| NPI Number | 1306113659 |
|---|---|
| Provider Enumeration Date | 11/30/2011 |
| Last Update Date | 11/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306113659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | SW125058 (Pennsylvania) | Primary |
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