| Florida Lighthouse Counseling Center | |
|
7901 4th St N Ste 300 St Petersburg FL 33702-4399 | |
| (786) 281-7681 | |
| Not Available |
| Full Name | Florida Lighthouse Counseling Center |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 7901 4th St N Ste 300, St Petersburg, Florida |
| Authorized Official Name and Position | Mary Ann Dente (DIRECTOR) |
| Authorized Official Contact | 7862817681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Lighthouse Counseling Center 3300 Port Royale Dr N Apt 445 Fort Lauderdale FL 33308-7914 Ph: (786) 281-7681 | Florida Lighthouse Counseling Center 7901 4th St N Ste 300 St Petersburg FL 33702-4399 Ph: (786) 281-7681 |
| NPI Number | 1003575911 |
|---|---|
| Provider Enumeration Date | 12/08/2021 |
| Last Update Date | 03/29/2022 |
| Certification Date | 03/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003575911 | NPI | - | NPPES |
| 107630000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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