| Lighthouse Counseling | |
|
251 S. State St Saint Joseph MI 49085 | |
| (269) 408-6031 | |
| Not Available |
| Full Name | Lighthouse Counseling |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 251 S. State St, Saint Joseph, Michigan |
| Authorized Official Name and Position | Briana Marie Dixon (THERAPIST/OWNER) |
| Authorized Official Contact | 2694086031 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Counseling 251 S. State St Saint Joseph MI 49085 Ph: (269) 408-6031 | Lighthouse Counseling 251 S. State St Saint Joseph MI 49085 Ph: (269) 408-6031 |
| NPI Number | 1811373434 |
|---|---|
| Provider Enumeration Date | 08/05/2015 |
| Last Update Date | 08/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811373434 | NPI | - | NPPES |
| 1265848147 | Medicaid | MI | |
| 1154698793 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6401014597 (Michigan) | Primary |
| 251S00000X | Community/behavioral Health | 6401012473 (Michigan) | Secondary |
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