| Sabra House Dba The Lighthouse Center | |
|
10752 N 89th Pl Suite 113 Scottsdale AZ 85260-6730 | |
| (480) 451-0819 | |
| (480) 860-2522 |
| Full Name | Sabra House Dba The Lighthouse Center |
|---|---|
| Speciality | Social Worker |
| Location | 10752 N 89th Pl, Scottsdale, Arizona |
| Authorized Official Name and Position | Sabra J House (DIRECTOR, CEO AND THERAPIST) |
| Authorized Official Contact | 4804510819 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sabra House Dba The Lighthouse Center 10752 N 89th Pl Suite 113 Scottsdale AZ 85260-6730 Ph: (480) 451-0819 | Sabra House Dba The Lighthouse Center 10752 N 89th Pl Suite 113 Scottsdale AZ 85260-6730 Ph: (480) 451-0819 |
| NPI Number | 1144214354 |
|---|---|
| Provider Enumeration Date | 09/02/2005 |
| Last Update Date | 03/06/2008 |
| Medicare PECOS PAC ID | 9436235306 |
|---|---|
| Medicare Enrollment ID | O20080319000025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144214354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW-0170 (Arizona) | Primary |
| Provider Name | Sabra J House |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053597815 PECOS PAC ID: 5395764849 Enrollment ID: I20051115000181 |
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