| Lighthouse Early Learning Center, Inc | |
|
9273 Coach Stop Rd Columbia IL 62236-3429 | |
| (618) 910-1397 | |
| Not Available |
| Full Name | Lighthouse Early Learning Center, Inc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 9273 Coach Stop Rd, Columbia, Illinois |
| Authorized Official Name and Position | Amy Hemenway (LCPC) |
| Authorized Official Contact | 6189101397 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Early Learning Center, Inc 9273 Coach Stop Rd Columbia IL 62236-3429 Ph: (618) 910-1397 | Lighthouse Early Learning Center, Inc 9273 Coach Stop Rd Columbia IL 62236-3429 Ph: (618) 910-1397 |
| NPI Number | 1740657048 |
|---|---|
| Provider Enumeration Date | 08/22/2015 |
| Last Update Date | 08/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740657048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180001167 (Illinois) | Primary |
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