| Lighthouse Counseling Of Vero Beach | |
|
1705 19th Pl Ste A Vero Beach FL 32960-0686 | |
| (772) 321-8620 | |
| Not Available |
| Full Name | Lighthouse Counseling Of Vero Beach |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1705 19th Pl Ste A, Vero Beach, Florida |
| Authorized Official Name and Position | Michal Andries (OWNER) |
| Authorized Official Contact | 7723218620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Counseling Of Vero Beach 1705 19th Pl Ste A Vero Beach FL 32960-0686 Ph: (772) 321-8620 | Lighthouse Counseling Of Vero Beach 1705 19th Pl Ste A Vero Beach FL 32960-0686 Ph: (772) 321-8620 |
| NPI Number | 1740735117 |
|---|---|
| Provider Enumeration Date | 08/16/2016 |
| Last Update Date | 08/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740735117 | NPI | - | NPPES |
| 13848673 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | MH14206 (Florida) | Primary |
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