| Beacon Of Light Counseling Llc | |
|
1515 E Laketon Ave Muskegon MI 49442 | |
| (231) 515-2055 | |
| Not Available |
| Full Name | Beacon Of Light Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1515 E Laketon Ave, Muskegon, Michigan |
| Authorized Official Name and Position | Lateasa Linette Moore (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2315152055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Of Light Counseling Llc Po Box 1264 Muskegon MI 49443-1264 Ph: (231) 515-2055 | Beacon Of Light Counseling Llc 1515 E Laketon Ave Muskegon MI 49442 Ph: (231) 515-2055 |
| NPI Number | 1205472321 |
|---|---|
| Provider Enumeration Date | 11/24/2019 |
| Last Update Date | 11/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205472321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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