| Lighthouse Counseling Llc | |
|
1990 Louisville Rd Ste 107 Bowling Green KY 42101-1202 | |
| (270) 904-0055 | |
| (270) 904-5110 |
| Full Name | Lighthouse Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1990 Louisville Rd Ste 107, Bowling Green, Kentucky |
| Authorized Official Name and Position | Sarah Light (OWNER/MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 2709040055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Counseling Llc Po Box 481 Bowling Green KY 42102-0481 Ph: (270) 904-0055 | Lighthouse Counseling Llc 1990 Louisville Rd Ste 107 Bowling Green KY 42101-1202 Ph: (270) 904-0055 |
| NPI Number | 1518525831 |
|---|---|
| Provider Enumeration Date | 06/01/2019 |
| Last Update Date | 04/01/2020 |
| Certification Date | 04/01/2020 |
| Medicare PECOS PAC ID | 7810227345 |
|---|---|
| Medicare Enrollment ID | O20190926002155 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518525831 | NPI | - | NPPES |
| 252472 | Other | KY | LCSW |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sarah Light |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437555620 PECOS PAC ID: 8527398957 Enrollment ID: I20190926002648 |
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