| North Point Lighthouse Counseling, Llc | |
|
4810 Mcever Rd Oakwood GA 30566-2600 | |
| (678) 971-4177 | |
| (678) 971-4185 |
| Full Name | North Point Lighthouse Counseling, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4810 Mcever Rd, Oakwood, Georgia |
| Authorized Official Name and Position | Alisa Jordan (CLINIC MANAGER) |
| Authorized Official Contact | 6789714177 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Point Lighthouse Counseling, Llc 4810 Mcever Rd Oakwood GA 30566-2600 Ph: (678) 971-4177 | North Point Lighthouse Counseling, Llc 4810 Mcever Rd Oakwood GA 30566-2600 Ph: (678) 971-4177 |
| NPI Number | 1033820709 |
|---|---|
| Provider Enumeration Date | 12/13/2022 |
| Last Update Date | 04/08/2024 |
| Certification Date | 04/04/2024 |
| Medicare PECOS PAC ID | 6002256567 |
|---|---|
| Medicare Enrollment ID | O20240501000149 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033820709 | NPI | - | NPPES |
| 003274561A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Cynthia J Homel-stoerchle |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1891155172 PECOS PAC ID: 8729428057 Enrollment ID: I20240502003292 |
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