Serenity Lighthouse Counseling

LBN: Serenity Lighthouse Counseling
Serenity Lighthouse Counseling is an health care organization with primary practice located at 2498 N Stokesberry Pl Ste 100 , Meridian ID 83646-5842. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Serenity Lighthouse Counseling can be contacted via phone (208) 939-6267, or through Simmons, Katy via phone (208) 452-6580.

Contact Information

Primary practice address
2498 N Stokesberry Pl Ste 100 Meridian ID 83646-5842
Phone: (208) 939-6267
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Simmons, Katy
Phone: (208) 452-6580

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4565 Idaho

Profile Details

NPI number 1821459272
LBN Legal business name Serenity Lighthouse Counseling
DBA Doing business as
Authorized official Simmons, Katy
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2016
Last updated Mar 14th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821459272 NPPES
Idaho MEDICAID 1922346576

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