| Lighthouse Counseling Christian Ministry, Llc | |
|
314 Franklin Ave Ste 403 Berlin MD 21811-1263 | |
| (410) 973-2211 | |
| (443) 782-0350 |
| Full Name | Lighthouse Counseling Christian Ministry, Llc |
|---|---|
| Speciality | Counselor |
| Location | 314 Franklin Ave Ste 403, Berlin, Maryland |
| Authorized Official Name and Position | Christopher W Tabb (OWNER/ THERAPIST) |
| Authorized Official Contact | 4108082291 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Counseling Christian Ministry, Llc 314 Franklin Ave Ste 403 Berlin MD 21811-1263 Ph: (410) 973-2211 | Lighthouse Counseling Christian Ministry, Llc 314 Franklin Ave Ste 403 Berlin MD 21811-1263 Ph: (410) 973-2211 |
| NPI Number | 1104272426 |
|---|---|
| Provider Enumeration Date | 05/05/2016 |
| Last Update Date | 07/25/2023 |
| Certification Date | 07/25/2023 |
| Medicare PECOS PAC ID | 1456615079 |
|---|---|
| Medicare Enrollment ID | O20180508001437 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104272426 | NPI | - | NPPES |
| 436905000 | Medicaid | MD | |
| 23332 | Other | MD | MARYLAND LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LC6686 (Maryland) | Primary |
| 101YP2500X | Counselor - Professional | PC0000480 (Delaware) | Secondary |
| Provider Name | Deborah E Smithson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134312259 PECOS PAC ID: 6507841608 Enrollment ID: I20040622001558 |
| Provider Name | Jeffrey Byrne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033571534 PECOS PAC ID: 3375809478 Enrollment ID: I20171106001929 |
| Provider Name | Carly Banks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467900803 PECOS PAC ID: 8527453547 Enrollment ID: I20220309002231 |
| Provider Name | Rochelle Marie Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770804783 PECOS PAC ID: 8729254388 Enrollment ID: I20230827000023 |
| Provider Name | Veron Corneil Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538435318 PECOS PAC ID: 4880025386 Enrollment ID: I20240108003986 |
| Provider Name | Jeff Biele |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821450768 PECOS PAC ID: 9830541051 Enrollment ID: I20240123003353 |
| Provider Name | Christopher W Tabb |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396167912 PECOS PAC ID: 7618329855 Enrollment ID: I20240123003941 |
| Provider Name | Lisa Thomas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063275873 PECOS PAC ID: 8820434202 Enrollment ID: I20240307002079 |
The Hope Company, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10031 Old Ocean City Blvd Ste 201, Berlin, MD 21811 Phone: 410-656-3139 | |
Worcester Youth And Family Counseling Services, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 124 N Main St Ste C, Berlin, MD 21811 Phone: 410-641-4598 Fax: 410-641-4696 | |
Acadia Counseling And Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9954 N Main St Bldg 2, Berlin, MD 21811 Phone: 443-523-6824 | |
Jaime Coates Therapy Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 378 Schooner Ln, Berlin, MD 21811 Phone: 443-783-3523 | |
Addictions Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9730 Healthway Dr, Berlin, MD 21811 Phone: 410-629-0164 Fax: 410-629-0185 | |
Cove Recovery, Llc Formerly J. David Collins And Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10226 Old Ocean City Blvd Unit 2, Berlin, MD 21811 Phone: 410-548-3333 Fax: 410-548-3341 |