| Lighthouse Counseling Group Llc | |
|
248 Lorraine Ave Ste 9 Upper Montclair NJ 07043-1457 | |
| (973) 400-9117 | |
| Not Available |
| Full Name | Lighthouse Counseling Group Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 248 Lorraine Ave Ste 9, Upper Montclair, New Jersey |
| Authorized Official Name and Position | Lisa Cassilli (PRESIDENT) |
| Authorized Official Contact | 9734009117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Counseling Group Llc 248 Lorraine Ave Ste 9 Upper Montclair NJ 07043-1457 Ph: (973) 400-9117 | Lighthouse Counseling Group Llc 248 Lorraine Ave Ste 9 Upper Montclair NJ 07043-1457 Ph: (973) 400-9117 |
| NPI Number | 1093429771 |
|---|---|
| Provider Enumeration Date | 01/09/2023 |
| Last Update Date | 02/01/2023 |
| Certification Date | 02/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093429771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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