Provider Demographics
NPI:1285485888
Name:LIGHTKEEPER COUNSELING PLLC
Entity type:Organization
Organization Name:LIGHTKEEPER COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:LUKE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:618-816-5050
Mailing Address - Street 1:535 EDWARDSVILLE RD STE 130
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:IL
Mailing Address - Zip Code:62294-1399
Mailing Address - Country:US
Mailing Address - Phone:618-816-5050
Mailing Address - Fax:
Practice Address - Street 1:535 EDWARDSVILLE RD STE 130
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:IL
Practice Address - Zip Code:62294-1399
Practice Address - Country:US
Practice Address - Phone:618-816-5050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-01
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty