| Lighthouse Of Hope & Healing, Llc | |
|
1026 Northeast Dr Ste B Jefferson City MO 65109-2517 | |
| (573) 690-7919 | |
| (573) 636-7771 |
| Full Name | Lighthouse Of Hope & Healing, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1026 Northeast Dr Ste B, Jefferson City, Missouri |
| Authorized Official Name and Position | Christina L Sanni (OWNER) |
| Authorized Official Contact | 5736907919 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Of Hope & Healing, Llc Po Box 105755 Jefferson City MO 65110-5755 Ph: (573) 690-7919 | Lighthouse Of Hope & Healing, Llc 1026 Northeast Dr Ste B Jefferson City MO 65109-2517 Ph: (573) 690-7919 |
| NPI Number | 1073135620 |
|---|---|
| Provider Enumeration Date | 05/16/2020 |
| Last Update Date | 05/16/2020 |
| Certification Date | 05/16/2020 |
| Medicare PECOS PAC ID | 4981053758 |
|---|---|
| Medicare Enrollment ID | O20231206001397 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073135620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Christina Louise Sanni |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063949659 PECOS PAC ID: 4880043660 Enrollment ID: I20231206001614 |
Capital Region Physicians - Neurology Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5666 Fax: 573-632-5859 | |
Ssm Health Medical Group - Behavioral Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2701 West Edgewood, Suite 101, Jefferson City, MO 65109 Phone: 573-634-5303 Fax: 573-761-6888 | |
Allcare Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1303 Edgewood Dr, Suite 3a, Jefferson City, MO 65109 Phone: 573-636-0025 Fax: 573-636-0025 | |
Sunrise Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1808a Southwest Blvd, Jefferson City, MO 65109 Phone: 573-619-9387 | |
Marissa R Abbott Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 919 Wildwood Dr, Suite 104, Jefferson City, MO 65109 Phone: 573-635-9654 Fax: 573-635-4466 | |
Lifesong For Growth And Wellness Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3401 W Truman Blvd, Ste 100, Jefferson City, MO 65109 Phone: 573-644-7909 Fax: 573-644-7908 |