| The Lighthouse, Inc. | |
|
323 N Broad St Lower Level Lancaster OH 43130-3004 | |
| (740) 687-4423 | |
| (740) 687-1048 |
| Full Name | The Lighthouse, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 323 N Broad St, Lancaster, Ohio |
| Authorized Official Name and Position | Suzanne Pelletier-walker (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7046892558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Lighthouse, Inc. Po Box 215 Lancaster OH 43130-0215 Ph: (740) 689-2558 | The Lighthouse, Inc. 323 N Broad St Lower Level Lancaster OH 43130-3004 Ph: (740) 687-4423 |
| NPI Number | 1699743740 |
|---|---|
| Provider Enumeration Date | 03/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699743740 | NPI | - | NPPES |
| MC 160400 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MC160400 (Ohio) | Primary |
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