| Lighthouse Counseling And Assessment | |
|
1008 S Bryant Ave Ste 130 Edmond OK 73034-5826 | |
| (405) 237-8949 | |
| Not Available |
| Full Name | Lighthouse Counseling And Assessment |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1008 S Bryant Ave Ste 130, Edmond, Oklahoma |
| Authorized Official Name and Position | Leisha Tompkins (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4052378949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Counseling And Assessment 1008 S Bryant Ave Ste 130 Edmond OK 73034-5826 Ph: (405) 237-8949 | Lighthouse Counseling And Assessment 1008 S Bryant Ave Ste 130 Edmond OK 73034-5826 Ph: (405) 237-8949 |
| NPI Number | 1750117727 |
|---|---|
| Provider Enumeration Date | 09/09/2024 |
| Last Update Date | 09/09/2024 |
| Certification Date | 09/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750117727 | NPI | - | NPPES |
| 1447551536 | Other | OK | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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