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NPI Code Detail

MEDICARE: LIGHTHOUSE COUNSELING SERVICES, INC.

MEDICARE: LIGHTHOUSE COUNSELING SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor810183KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255855920
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIGHTHOUSE COUNSELING SERVICES, INC.
Provider Business Mailing Address
First Line : 203 N ELM ST
Second Line :
City : HENDERSON
State : KY
Zip : 42420-3132
Country : US
Telephone Number : 270-826-8761
Fax Number :
Provider Business Practice Location Address
First Line : 203 N ELM ST
Second Line :
City : HENDERSON
State : KY
Zip : 42420-3132
Country : US
Telephone Number : 270-826-8761
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT
Name : ELIZABETH HILL
Credential : LCSW
Telephone Number : 270-827-8761
Provider Enumeration Date : 08/03/2017
Last Update Date : 07/21/2022

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Directions to “LIGHTHOUSE COUNSELING SERVICES, INC. ” Practice Location

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