| Lighthouse Therapy & Assessment Services | |
|
2401 Judson Rd Ste 102 Longview TX 75605-4636 | |
| (469) 334-3615 | |
| Not Available |
| Full Name | Lighthouse Therapy & Assessment Services |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2401 Judson Rd Ste 102, Longview, Texas |
| Authorized Official Name and Position | Taylor Parker (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9037361028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Therapy & Assessment Services 2401 Judson Rd Ste 102 Longview TX 75605-4636 Ph: (469) 334-3615 | Lighthouse Therapy & Assessment Services 2401 Judson Rd Ste 102 Longview TX 75605-4636 Ph: (469) 334-3615 |
| NPI Number | 1174334023 |
|---|---|
| Provider Enumeration Date | 01/17/2025 |
| Last Update Date | 01/17/2025 |
| Certification Date | 01/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174334023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Heather R. Mcconnell, M.a., Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 911 W Loop 281, Suite 423, Longview, TX 75604 Phone: 903-759-2402 Fax: 903-759-2570 | |
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