| Lighthouse Center For Therapy & Play, Llc | |
|
13426 Daventry Way Apt D Germantown MD 20874-2943 | |
| (240) 554-5818 | |
| (443) 276-0905 |
| Full Name | Lighthouse Center For Therapy & Play, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 13426 Daventry Way Apt D, Germantown, Maryland |
| Authorized Official Name and Position | Yvette Mimi Sneed (OWNER/THERAPIST) |
| Authorized Official Contact | 2405545818 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Center For Therapy & Play, Llc 13426 Daventry Way Apt D Germantown MD 20874-2943 Ph: (240) 554-5818 | Lighthouse Center For Therapy & Play, Llc 13426 Daventry Way Apt D Germantown MD 20874-2943 Ph: (240) 554-5818 |
| NPI Number | 1215363510 |
|---|---|
| Provider Enumeration Date | 09/18/2013 |
| Last Update Date | 10/21/2024 |
| Certification Date | 10/21/2024 |
| Medicare PECOS PAC ID | 6002048014 |
|---|---|
| Medicare Enrollment ID | O20140404001806 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215363510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Yvette Ryans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396051181 PECOS PAC ID: 5991937906 Enrollment ID: I20140404001861 |
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