| Lighthouse Family Guidance | |
|
1075 S Court St Ste 500 Medina OH 44256-4354 | |
| (216) 396-0629 | |
| Not Available |
| Full Name | Lighthouse Family Guidance |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1075 S Court St Ste 500, Medina, Ohio |
| Authorized Official Name and Position | Desiree Summers (OWNER) |
| Authorized Official Contact | 2163960629 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Family Guidance 1075 S Court St Ste 500 Medina OH 44256-4354 Ph: (216) 396-0629 | Lighthouse Family Guidance 1075 S Court St Ste 500 Medina OH 44256-4354 Ph: (216) 396-0629 |
| NPI Number | 1750778411 |
|---|---|
| Provider Enumeration Date | 04/21/2015 |
| Last Update Date | 09/14/2023 |
| Certification Date | 09/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750778411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | E.0900411 (Ohio) | Primary |
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