| Lighthouse Counseling Services Inc | |
|
9890 Clayton Rd Ste 100 Saint Louis MO 63124-1685 | |
| (314) 403-2113 | |
| (618) 310-3893 |
| Full Name | Lighthouse Counseling Services Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9890 Clayton Rd Ste 100, Saint Louis, Missouri |
| Authorized Official Name and Position | Carol Long (THERAPIST/OWNER) |
| Authorized Official Contact | 3144032113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Counseling Services Inc 9890 Clayton Rd Ste 100 Saint Louis MO 63124-1685 Ph: (314) 403-2113 | Lighthouse Counseling Services Inc 9890 Clayton Rd Ste 100 Saint Louis MO 63124-1685 Ph: (314) 403-2113 |
| NPI Number | 1689090219 |
|---|---|
| Provider Enumeration Date | 03/06/2014 |
| Last Update Date | 03/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689090219 | NPI | - | NPPES |
| 130927125309555 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2004003782 (Missouri) | Primary |
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