Organization

Lighthouse Counseling Of Vero Beach

Adolescent and Children Mental Health Clinic/Center in Vero Beach, FL(View on Map)

Legal Business Name

Lighthouse Counseling Of Vero Beach

NPI Number

1740735117

NPI Type

Organization

Enumeration Date

08/16/2016

Specialties

(Taxonomies)

Code

261QM0855X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

MH14206

Contact
Information

Purpose

Mailing
Location

Address

1705 19TH PL STE A
1705 19TH PL STE A

City

Vero Beach
Vero Beach

State

FL
FL

Postal Code

32960-0686
32960-0686

Country

US
US

Telephone Number

(772) 321-8620
(772) 321-8620

Authorized Official

Name

Mrs. Michal Andries

Title or Position

OWNER

Telephone Number

(772) 321-8620

Identifiers

Identifier

13848673

Identifier State

Unknown

Identifier Issuer

CAQH

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/16/2016

Provider Address

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