| Lighthouse Counseling And Mental Healht Services | |
|
310 Uptown Sq Murfreesboro TN 37129-0574 | |
| (615) 692-4935 | |
| (855) 261-6356 |
| Full Name | Lighthouse Counseling And Mental Healht Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 310 Uptown Sq, Murfreesboro, Tennessee |
| Authorized Official Name and Position | Percy W Ford (CEO/OWNER) |
| Authorized Official Contact | 6156924935 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Counseling And Mental Healht Services 5165 Brookstone Ct Antioch TN 37013-5687 Ph: (615) 692-4935 | Lighthouse Counseling And Mental Healht Services 310 Uptown Sq Murfreesboro TN 37129-0574 Ph: (615) 692-4935 |
| NPI Number | 1922353408 |
|---|---|
| Provider Enumeration Date | 07/19/2012 |
| Last Update Date | 07/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922353408 | NPI | - | NPPES |
| 1528221 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | I000000010821 (Tennessee) | Primary |
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