| Guiding Light Counseling LLC | |
|
615 Lacey Rd Ste J Forked River NJ 08731-2200 | |
| (732) 908-7753 | |
| Not Available |
| Full Name | Guiding Light Counseling LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 615 Lacey Rd Ste J, Forked River, New Jersey |
| Authorized Official Name and Position | Carissa Mcdonald (OWNER) |
| Authorized Official Contact | 7329087753 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Guiding Light Counseling LLC 971 Us Highway 202 N Branchburg NJ 08876-3757 | Guiding Light Counseling LLC 615 Lacey Rd Ste J Forked River NJ 08731-2200 Ph: (732) 908-7753 |
| NPI Number | 1568250751 |
|---|---|
| Provider Enumeration Date | 04/28/2025 |
| Last Update Date | 04/28/2025 |
| Certification Date | 04/28/2025 |
| Medicare PECOS PAC ID | 8527573278 |
|---|---|
| Medicare Enrollment ID | O20250714000298 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568250751 | NPI | - | NPPES |
| Provider Name | Carissa Mcdonald |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1194450882 PECOS PAC ID: 9436664182 Enrollment ID: I20250714000452 |
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