Organization
LIGHTHOUSE COUNSELING OF VERO BEACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHAL ANDRIES LMHC (OWNER)
(772) 321-8620
Entity
Organization
Contact information
Practice address
1705 19TH PL STE A, VERO BEACH, FL 32960-0686
(772) 321-8620
Mailing address
1705 19TH PL STE A, VERO BEACH, FL 32960-0686
(772) 321-8620
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
MH14206
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13848673
CAQH
—
Enumeration date
08/16/2016
Last updated
08/16/2016
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