Lighthouse Counseling, Ltd. | |
121 1st Ave Se Hutchinson MN 55350-2514 | |
(855) 454-2463 | |
(320) 295-7898 |
Full Name | Lighthouse Counseling, Ltd. |
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Speciality | Counselor |
Location | 121 1st Ave Se, Hutchinson, Minnesota |
Authorized Official Name and Position | Larry Richard Bengtson (PRESIDENT) |
Authorized Official Contact | 8554542463 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lighthouse Counseling, Ltd. Po Box 655 Hutchinson MN 55350-0655 Ph: (855) 454-2463 | Lighthouse Counseling, Ltd. 121 1st Ave Se Hutchinson MN 55350-2514 Ph: (855) 454-2463 |
NPI Number | 1841359270 |
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Provider Enumeration Date | 12/08/2006 |
Last Update Date | 04/15/2020 |
Certification Date | 04/15/2020 |
Medicare PECOS PAC ID | 0143685768 |
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Medicare Enrollment ID | O20230503001075 |
Identifier | Type | State | Issuer |
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1841359270 | NPI | - | NPPES |
Provider Name | Naomi K Drenk |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1326510041 PECOS PAC ID: 5991043945 Enrollment ID: I20190218000043 |
Provider Name | Larry Richard Bengtson |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1235299660 PECOS PAC ID: 5698130219 Enrollment ID: I20240214004241 |
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