| Lighthouse Counseling And Mediation Services | |
|
320 Market St Fl 3 Steubenville OH 43952-2153 | |
| (740) 314-5339 | |
| (740) 314-5527 |
| Full Name | Lighthouse Counseling And Mediation Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 320 Market St Fl 3, Steubenville, Ohio |
| Authorized Official Name and Position | Kimberly Ann Ford (CEO) |
| Authorized Official Contact | 3308536523 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Counseling And Mediation Services 30697 King Rd Salem OH 44460-9531 Ph: (330) 853-6523 | Lighthouse Counseling And Mediation Services 320 Market St Fl 3 Steubenville OH 43952-2153 Ph: (740) 314-5339 |
| NPI Number | 1184117418 |
|---|---|
| Provider Enumeration Date | 06/12/2018 |
| Last Update Date | 03/27/2024 |
| Certification Date | 03/27/2024 |
| Medicare PECOS PAC ID | 3577986454 |
|---|---|
| Medicare Enrollment ID | O20200710001040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184117418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 081188 (Ohio) | Secondary |
| 251S00000X | Community/behavioral Health | E0600491 (Ohio) | Primary |
| Provider Name | Kimberly Ford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679742092 PECOS PAC ID: 9335497502 Enrollment ID: I20240419000390 |
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