| The Lighthouse Guidance Center Llc | |
|
2204 W. Grand Ave Chickasha OK 73018-6405 | |
| (405) 222-8267 | |
| (405) 222-8267 |
| Full Name | The Lighthouse Guidance Center Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2204 W. Grand Ave, Chickasha, Oklahoma |
| Authorized Official Name and Position | Thomas A Greenfield (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 4052228267 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Lighthouse Guidance Center Llc 2204 W Grand Ave Chickasha OK 73018-5240 Ph: (405) 222-8267 | The Lighthouse Guidance Center Llc 2204 W. Grand Ave Chickasha OK 73018-6405 Ph: (405) 222-8267 |
| NPI Number | 1043593635 |
|---|---|
| Provider Enumeration Date | 09/21/2011 |
| Last Update Date | 03/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043593635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Oklahoma) | Primary |
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