| Lighthouse, Inc. | |
|
60 Mellor Ave Baltimore MD 21228-5104 | |
| (410) 788-5483 | |
| (410) 788-5486 |
| Full Name | Lighthouse, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 60 Mellor Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Drew Carberry (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4107885483 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse, Inc. 60 Mellor Ave Baltimore MD 21228-5104 Ph: (410) 788-5483 | Lighthouse, Inc. 60 Mellor Ave Baltimore MD 21228-5104 Ph: (410) 788-5483 |
| NPI Number | 1790112746 |
|---|---|
| Provider Enumeration Date | 10/07/2013 |
| Last Update Date | 06/11/2015 |
| Medicare PECOS PAC ID | 5890225007 |
|---|---|
| Medicare Enrollment ID | O20250203003121 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790112746 | NPI | - | NPPES |
| BD70 | Other | MD | CAREFIRST BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Donna Schafer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649517889 PECOS PAC ID: 8426588633 Enrollment ID: I20250203003227 |
Trinity Healthcare Services Incorporated Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4701 Belair Rd, Baltimore, MD 21206 Phone: 410-325-1850 | |
Michael B. Freedman Phd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6006 Park Heights Ave, Baltimore, MD 21215 Phone: 410-790-8433 Fax: 443-501-3379 | |
Home Free Iop Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 W Madison St Ste 11, Baltimore, MD 21201 Phone: 443-438-5239 | |
All Walks Of Life, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 E 25th St, Baltimore, MD 21218 Phone: 410-558-0019 | |
Eva Life Giver Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4804 York Rd Ste 2, Baltimore, MD 21212 Phone: 443-873-8958 Fax: 443-873-8959 | |
Darryl M Coleman Md Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 N Monroe St, Baltimore, MD 21223 Phone: 443-708-4391 Fax: 443-708-4436 | |
Johnny Cares, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3028 Greenmount Ave, Baltimore, MD 21218 Phone: 410-467-6040 Fax: 410-467-5944 |