Lighthouse Counseling Llc | |
1990 Louisville Rd Ste 107 Bowling Green KY 42101-1202 | |
(270) 904-0055 | |
(270) 904-5110 |
Full Name | Lighthouse Counseling Llc |
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Speciality | Social Worker |
Location | 1990 Louisville Rd Ste 107, Bowling Green, Kentucky |
Authorized Official Name and Position | Sarah Light (OWNER/MENTAL HEALTH THERAPIST) |
Authorized Official Contact | 2709040055 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lighthouse Counseling Llc Po Box 481 Bowling Green KY 42102-0481 Ph: (270) 904-0055 | Lighthouse Counseling Llc 1990 Louisville Rd Ste 107 Bowling Green KY 42101-1202 Ph: (270) 904-0055 |
NPI Number | 1518525831 |
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Provider Enumeration Date | 06/01/2019 |
Last Update Date | 04/01/2020 |
Certification Date | 04/01/2020 |
Medicare PECOS PAC ID | 7810227345 |
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Medicare Enrollment ID | O20190926002155 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518525831 | NPI | - | NPPES |
252472 | Other | KY | LCSW |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Sarah Light |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1437555620 PECOS PAC ID: 8527398957 Enrollment ID: I20190926002648 |
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