| I C Lightstone Counseling & Coaching Services Llc | |
|
11949 Bricksome Ave Ste C Baton Rouge LA 70816-2595 | |
| (225) 443-2083 | |
| (225) 666-0444 |
| Full Name | I C Lightstone Counseling & Coaching Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 11949 Bricksome Ave Ste C, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Charlotte Gilmore (OWNER) |
| Authorized Official Contact | 2254432083 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| I C Lightstone Counseling & Coaching Services Llc 6142 Tennyson Dr Baton Rouge LA 70817-2937 Ph: (504) 275-9020 | I C Lightstone Counseling & Coaching Services Llc 11949 Bricksome Ave Ste C Baton Rouge LA 70816-2595 Ph: (225) 443-2083 |
| NPI Number | 1861140824 |
|---|---|
| Provider Enumeration Date | 03/17/2022 |
| Last Update Date | 04/25/2024 |
| Certification Date | 04/25/2024 |
| Medicare PECOS PAC ID | 8325485808 |
|---|---|
| Medicare Enrollment ID | O20240607001930 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861140824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Charlotte H Gilmore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497249825 PECOS PAC ID: 9234576711 Enrollment ID: I20240607001989 |
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