| The Lightchaser Institute, Llc | |
|
1 W Church St Frederick MD 21701-5991 | |
| (240) 558-0200 | |
| Not Available |
| Full Name | The Lightchaser Institute, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1 W Church St, Frederick, Maryland |
| Authorized Official Name and Position | Alina Lightchaser (OWNER) |
| Authorized Official Contact | 2405580200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Lightchaser Institute, Llc 4723b Reels Mill Rd Frederick MD 21704-7324 Ph: (443) 928-0198 | The Lightchaser Institute, Llc 1 W Church St Frederick MD 21701-5991 Ph: (240) 558-0200 |
| NPI Number | 1457091340 |
|---|---|
| Provider Enumeration Date | 03/30/2022 |
| Last Update Date | 03/30/2022 |
| Certification Date | 03/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457091340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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