| Lighthouse Counseling Services Lcsw Pllc | |
|
112 W Main St Ste 4 Fredonia NY 14063-2149 | |
| (716) 680-8101 | |
| (716) 680-8102 |
| Full Name | Lighthouse Counseling Services Lcsw Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 112 W Main St Ste 4, Fredonia, New York |
| Authorized Official Name and Position | Carol Ludwig (SOLE MEMBER) |
| Authorized Official Contact | 7166808101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Counseling Services Lcsw Pllc 112 W Main St Ste 4 Fredonia NY 14063-2149 Ph: (716) 680-8101 | Lighthouse Counseling Services Lcsw Pllc 112 W Main St Ste 4 Fredonia NY 14063-2149 Ph: (716) 680-8101 |
| NPI Number | 1609359744 |
|---|---|
| Provider Enumeration Date | 09/14/2018 |
| Last Update Date | 09/14/2018 |
| Medicare PECOS PAC ID | 5193076479 |
|---|---|
| Medicare Enrollment ID | O20180926000236 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609359744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Carol J Ludwig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023155686 PECOS PAC ID: 3173654878 Enrollment ID: I20100624000287 |
Steady Wings Mental Health Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Woodward Dr, Fredonia, NY 14063 Phone: 716-281-3460 |