| Lighthouse Sober Solutions Llc | |
|
202 Bishop Ln Elizabethtown KY 42701-9266 | |
| (270) 234-0003 | |
| (270) 360-0840 |
| Full Name | Lighthouse Sober Solutions Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 202 Bishop Ln, Elizabethtown, Kentucky |
| Authorized Official Name and Position | Tony J Metcalfe (C.E.O) |
| Authorized Official Contact | 2703707573 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Sober Solutions Llc 202 Bishop Ln Elizabethtown KY 42701-9266 Ph: (270) 234-0003 | Lighthouse Sober Solutions Llc 202 Bishop Ln Elizabethtown KY 42701-9266 Ph: (270) 234-0003 |
| NPI Number | 1235821083 |
|---|---|
| Provider Enumeration Date | 05/22/2023 |
| Last Update Date | 05/22/2023 |
| Certification Date | 05/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235821083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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