| Lighthouse Professional Counseling Center, Llc | |
|
2535 Bethany Rd Ste 210 Sycamore IL 60178-3126 | |
| (773) 656-2738 | |
| Not Available |
| Full Name | Lighthouse Professional Counseling Center, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2535 Bethany Rd, Sycamore, Illinois |
| Authorized Official Name and Position | Joel Marc Filmore (CLINICAL DIRECTOR/OWNER) |
| Authorized Official Contact | 7736562738 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Professional Counseling Center, Llc 2535 Bethany Rd Ste 210 Sycamore IL 60178-3126 Ph: (773) 656-2738 | Lighthouse Professional Counseling Center, Llc 2535 Bethany Rd Ste 210 Sycamore IL 60178-3126 Ph: (773) 656-2738 |
| NPI Number | 1659720332 |
|---|---|
| Provider Enumeration Date | 06/03/2016 |
| Last Update Date | 06/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659720332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 180008697 (Illinois) | Primary |
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