| Lighthouse Counseling Center Llc | |
|
926 Willard Drive Suite 136 Green Bay WI 54304-5296 | |
| (920) 460-9301 | |
| (920) 659-5774 |
| Full Name | Lighthouse Counseling Center Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 926 Willard Drive, Green Bay, Wisconsin |
| Authorized Official Name and Position | Cassandra Schraft (CLINIC OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 9204609301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Counseling Center Llc 926 Willard Drive Suite 136 Green Bay WI 54304-5296 Ph: (920) 460-9301 | Lighthouse Counseling Center Llc 926 Willard Drive Suite 136 Green Bay WI 54304-5296 Ph: (920) 460-9301 |
| NPI Number | 1790543676 |
|---|---|
| Provider Enumeration Date | 03/06/2024 |
| Last Update Date | 05/06/2024 |
| Certification Date | 03/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790543676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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