| Lighthouse Counseling, Pllc | |
|
3624 S Straits Hwy # Po794 Indian River MI 49749-5136 | |
| (231) 268-1707 | |
| Not Available |
| Full Name | Lighthouse Counseling, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3624 S Straits Hwy # Po794, Indian River, Michigan |
| Authorized Official Name and Position | Katheleen Joan Hart (OWNER) |
| Authorized Official Contact | 2312681707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Counseling, Pllc Po Box 794 Indian River MI 49749-0794 Ph: (231) 268-1707 | Lighthouse Counseling, Pllc 3624 S Straits Hwy # Po794 Indian River MI 49749-5136 Ph: (231) 268-1707 |
| NPI Number | 1649931817 |
|---|---|
| Provider Enumeration Date | 01/10/2022 |
| Last Update Date | 01/10/2022 |
| Certification Date | 11/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649931817 | NPI | - | NPPES |
| 47152575 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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