| First Light Counseling, Llc | |
|
185 S Kimball Ave Ste 100 Southlake TX 76092-1524 | |
| (817) 756-1440 | |
| Not Available |
| Full Name | First Light Counseling, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 185 S Kimball Ave Ste 100, Southlake, Texas |
| Authorized Official Name and Position | Satchel P Stillwell (OWNER) |
| Authorized Official Contact | 6824101491 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First Light Counseling, Llc 185 S Kimball Ave Ste 100 Southlake TX 76092-1524 Ph: (817) 756-1440 | First Light Counseling, Llc 185 S Kimball Ave Ste 100 Southlake TX 76092-1524 Ph: (817) 756-1440 |
| NPI Number | 1629857289 |
|---|---|
| Provider Enumeration Date | 09/25/2023 |
| Last Update Date | 09/25/2023 |
| Certification Date | 09/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629857289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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