| Lighthouse Psychology Services Llc | |
|
1119 S 12th St Rocky Ford CO 81067-2409 | |
| (719) 225-0311 | |
| Not Available |
| Full Name | Lighthouse Psychology Services Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1119 S 12th St, Rocky Ford, Colorado |
| Authorized Official Name and Position | Melissa Foley (THERAPIST/OWNER) |
| Authorized Official Contact | 7192250311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Psychology Services Llc Po Box 798 Rocky Ford CO 81067-0798 Ph: (719) 225-0311 | Lighthouse Psychology Services Llc 1119 S 12th St Rocky Ford CO 81067-2409 Ph: (719) 225-0311 |
| NPI Number | 1023846391 |
|---|---|
| Provider Enumeration Date | 07/26/2024 |
| Last Update Date | 09/10/2024 |
| Certification Date | 09/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023846391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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