Organization
LIGHTHOUSE COUNSELING, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY RICHARD BENGTSON M.S.E., L.P.C.C. (PRESIDENT)
(855) 454-2463
Entity
Organization
Contact information
Practice address
121 1ST AVE SE, HUTCHINSON, MN 55350-2514
(855) 454-2463
(320) 295-7898
Mailing address
PO BOX 655, HUTCHINSON, MN 55350-0655
(855) 454-2463
(320) 295-7898
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC00105
MN
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
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Other
Enumeration date
12/08/2006
Last updated
04/15/2020
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