| Lighthouse Mental Health Counseling Services, Pllc | |
|
108 S Franklin Ave Valley Stream NY 11580-6105 | |
| (516) 303-9925 | |
| (516) 303-9920 |
| Full Name | Lighthouse Mental Health Counseling Services, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 108 S Franklin Ave, Valley Stream, New York |
| Authorized Official Name and Position | Lynda Simon-taylor (OWNER) |
| Authorized Official Contact | 6313720556 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Mental Health Counseling Services, Pllc 108 S Franklin Ave Valley Stream NY 11580-6105 Ph: (516) 303-9925 | Lighthouse Mental Health Counseling Services, Pllc 108 S Franklin Ave Valley Stream NY 11580-6105 Ph: (516) 303-9925 |
| NPI Number | 1619342839 |
|---|---|
| Provider Enumeration Date | 12/14/2015 |
| Last Update Date | 08/03/2024 |
| Certification Date | 08/03/2024 |
| Medicare PECOS PAC ID | 9436590312 |
|---|---|
| Medicare Enrollment ID | O20240509000590 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619342839 | NPI | - | NPPES |
| Provider Name | Lynda Simon-taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770977449 PECOS PAC ID: 0345681227 Enrollment ID: I20240509000739 |
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