| Lighthouse Mental Health Counseling, Llc | |
|
2390 Preservation Way Florence KY 41042-7879 | |
| (804) 240-0618 | |
| Not Available |
| Full Name | Lighthouse Mental Health Counseling, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2390 Preservation Way, Florence, Kentucky |
| Authorized Official Name and Position | Rebecca Borum Warriner (OWNER/PROVIDER) |
| Authorized Official Contact | 8599576067 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Mental Health Counseling, Llc 2390 Preservation Way Florence KY 41042-7879 Ph: (859) 957-6067 | Lighthouse Mental Health Counseling, Llc 2390 Preservation Way Florence KY 41042-7879 Ph: (804) 240-0618 |
| NPI Number | 1184216590 |
|---|---|
| Provider Enumeration Date | 02/07/2021 |
| Last Update Date | 06/30/2023 |
| Certification Date | 06/30/2023 |
| Medicare PECOS PAC ID | 1759728439 |
|---|---|
| Medicare Enrollment ID | O20240318003441 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184216590 | NPI | - | NPPES |
| 7100726530 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Rebecca Borum Warriner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700245081 PECOS PAC ID: 2668819343 Enrollment ID: I20240318003479 |
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