Provider Demographics
NPI:1396246922
Name:LAMPLIGHT COUNSELING, LLC
Entity type:Organization
Organization Name:LAMPLIGHT COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MASHELLE
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:KRIER
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC-C
Authorized Official - Phone:207-317-0049
Mailing Address - Street 1:51 WILD DUNES WAY UNIT 13
Mailing Address - Street 2:
Mailing Address - City:OLD ORCHARD BEACH
Mailing Address - State:ME
Mailing Address - Zip Code:04064-4156
Mailing Address - Country:US
Mailing Address - Phone:207-317-0049
Mailing Address - Fax:
Practice Address - Street 1:15 YORK ST UNIT 201H
Practice Address - Street 2:
Practice Address - City:BIDDEFORD
Practice Address - State:ME
Practice Address - Zip Code:04005-5531
Practice Address - Country:US
Practice Address - Phone:207-200-1097
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-28
Last Update Date:2018-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEXL4797261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health