| Lighthouse Counseling, Ltd. | |
|
121 1st Ave Se Hutchinson MN 55350-2514 | |
| (855) 454-2463 | |
| (320) 295-7898 |
| Full Name | Lighthouse Counseling, Ltd. |
|---|---|
| Speciality | Counselor |
| Location | 121 1st Ave Se, Hutchinson, Minnesota |
| Authorized Official Name and Position | Larry Richard Bengtson (PRESIDENT) |
| Authorized Official Contact | 8554542463 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Counseling, Ltd. Po Box 655 Hutchinson MN 55350-0655 Ph: (855) 454-2463 | Lighthouse Counseling, Ltd. 121 1st Ave Se Hutchinson MN 55350-2514 Ph: (855) 454-2463 |
| NPI Number | 1841359270 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 04/15/2020 |
| Certification Date | 04/15/2020 |
| Medicare PECOS PAC ID | 0143685768 |
|---|---|
| Medicare Enrollment ID | O20230503001075 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841359270 | NPI | - | NPPES |
| Provider Name | Naomi K Drenk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326510041 PECOS PAC ID: 5991043945 Enrollment ID: I20190218000043 |
| Provider Name | Larry Richard Bengtson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235299660 PECOS PAC ID: 5698130219 Enrollment ID: I20240214004241 |
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