| Lighthouse Counseling, Pllc | |
|
303 Highway 90 Bay Saint Louis MS 39520-2832 | |
| (228) 238-0992 | |
| Not Available |
| Full Name | Lighthouse Counseling, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 303 Highway 90, Bay Saint Louis, Mississippi |
| Authorized Official Name and Position | Christina James (OWNER) |
| Authorized Official Contact | 2282380992 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Counseling, Pllc 303 Highway 90 Bay Saint Louis MS 39520-2832 Ph: (228) 238-0992 | Lighthouse Counseling, Pllc 303 Highway 90 Bay Saint Louis MS 39520-2832 Ph: (228) 238-0992 |
| NPI Number | 1235774589 |
|---|---|
| Provider Enumeration Date | 11/11/2019 |
| Last Update Date | 10/29/2024 |
| Certification Date | 10/29/2024 |
| Medicare PECOS PAC ID | 3870927007 |
|---|---|
| Medicare Enrollment ID | O20191223000076 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235774589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| Provider Name | Christina B James |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104461417 PECOS PAC ID: 4789018912 Enrollment ID: I20191223000098 |
Leslie Therapy, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 303 Highway 90, Bay Saint Louis, MS 39520 Phone: 228-471-3141 |