| Lighthouse Counseling, Llc | |
|
1075 S Utah Ave Ste 356 Idaho Falls ID 83402-3334 | |
| (208) 541-4295 | |
| Not Available |
| Full Name | Lighthouse Counseling, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1075 S Utah Ave Ste 356, Idaho Falls, Idaho |
| Authorized Official Name and Position | Jodi Hyde (THERAPIST) |
| Authorized Official Contact | 2085414295 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Counseling, Llc 34 N 3600 E Rigby ID 83442-5638 Ph: (208) 541-4295 | Lighthouse Counseling, Llc 1075 S Utah Ave Ste 356 Idaho Falls ID 83402-3334 Ph: (208) 541-4295 |
| NPI Number | 1093477259 |
|---|---|
| Provider Enumeration Date | 10/06/2021 |
| Last Update Date | 10/06/2021 |
| Certification Date | 10/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093477259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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