| Lighthouse Behavioral Health, Llc | |
|
215 S 4th Ave St Charles IL 60174-2913 | |
| (847) 347-4566 | |
| Not Available |
| Full Name | Lighthouse Behavioral Health, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 215 S 4th Ave, St Charles, Illinois |
| Authorized Official Name and Position | Mary Michelle Berkos (OWNER) |
| Authorized Official Contact | 8473464566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Behavioral Health, Llc 39w635 Loretta Dr St Charles IL 60175-7613 Ph: () - | Lighthouse Behavioral Health, Llc 215 S 4th Ave St Charles IL 60174-2913 Ph: (847) 347-4566 |
| NPI Number | 1467730622 |
|---|---|
| Provider Enumeration Date | 07/21/2011 |
| Last Update Date | 07/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467730622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 149014342 (Illinois) | Primary |
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