| Serenity Lighthouse Counseling | |
|
2498 N Stokesberry Pl Ste 100 Meridian ID 83646-5842 | |
| (208) 939-6267 | |
| Not Available |
| Full Name | Serenity Lighthouse Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2498 N Stokesberry Pl Ste 100, Meridian, Idaho |
| Authorized Official Name and Position | Katy Simmons (BILLING/CREDENTIALING) |
| Authorized Official Contact | 2084526580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Lighthouse Counseling 2498 N Stokesberry Place #100 Meridian ID 83646 Ph: (208) 939-6267 | Serenity Lighthouse Counseling 2498 N Stokesberry Pl Ste 100 Meridian ID 83646-5842 Ph: (208) 939-6267 |
| NPI Number | 1821459272 |
|---|---|
| Provider Enumeration Date | 03/14/2016 |
| Last Update Date | 03/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821459272 | NPI | - | NPPES |
| 1922346576 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 4565 (Idaho) | Primary |
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