Organization Name: | LIGHTHOUSE COUNSELING, P.C. |
NPI Number: | 1235216219 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ERICA R. KRAHL (DIRECTOR) |
Mailing Address: | 275 S Broadway St Suite 2 Coal City |
State: | IL US |
Postal Code: | 604161699 |
Phone Number: | 8156343994 |
Fax Number: | 8156342738 |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 06/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 060007893 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |