| Lighthouse Professional Counseling Services, Pllc | |
|
1100 Our Lady's Way Ste 219 Ashland KY 41101-7049 | |
| (606) 834-0020 | |
| (606) 834-0049 |
| Full Name | Lighthouse Professional Counseling Services, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 1100 Our Lady's Way Ste 219, Ashland, Kentucky |
| Authorized Official Name and Position | Debora K Reeves (EXECUTIVE DIRECTOR/CO-OWNER) |
| Authorized Official Contact | 6068340020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Professional Counseling Services, Pllc 1100 Our Lady's Way Ste 219 Ashland KY 41101-7049 Ph: (606) 834-0020 | Lighthouse Professional Counseling Services, Pllc 1100 Our Lady's Way Ste 219 Ashland KY 41101-7049 Ph: (606) 834-0020 |
| NPI Number | 1003218546 |
|---|---|
| Provider Enumeration Date | 09/16/2014 |
| Last Update Date | 01/11/2023 |
| Certification Date | 01/11/2023 |
| Medicare PECOS PAC ID | 4082938477 |
|---|---|
| Medicare Enrollment ID | O20150112002286 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003218546 | NPI | - | NPPES |
| Provider Name | Debora K Reeves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245436757 PECOS PAC ID: 8628392826 Enrollment ID: I20150116002011 |
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