MEDICARE: IN LIGHT THERAPY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1093603698
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IN LIGHT THERAPY

Provider Business Mailing Address
First Line	:	5440 HARVEST HILL RD STE 254
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-6448
Country	:	US
Telephone Number	:	512-593-2288
Fax Number	:

Provider Business Practice Location Address
First Line	:	5440 HARVEST HILL RD STE 254
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-6448
Country	:	US
Telephone Number	:	512-593-2288
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LAUREN PETKA
Credential	:	MA, LPC
Telephone Number	:	512-593-2288

Provider Enumeration Date	:	06/24/2025
Last Update Date	:	06/21/2026

Similar Medicare Providers

1356889729 — MARIE MAZZOLA SOLOMON RPT
Practice Location Address:

7732 WORTHING ST
DALLAS, TX
75252-6448

Practice Phone: 203-530-6926
Practice Fax:

1851223424 — TINA M JONES
Practice Location Address:

11700 PRESTON RD STE 720
DALLAS, TX
75230-6117

Practice Phone: 817-344-0854
Practice Fax:

1174110324 — ALEXANDRA NOVOA CCC-SLP
Practice Location Address:

12400 PRESTON RD
DALLAS, TX
75230-1866

Practice Phone: 972-661-3111
Practice Fax:

1548221179 — MARGARET FINK PA
Practice Location Address:

7777 FOREST LN , STE A323
DALLAS, TX
75230-2571

Practice Phone: 972-566-4866
Practice Fax: 972-490-5457

1134055056 — BELOVED ANASTHESIA, LLC
Practice Location Address:

7777 FOREST LN STE A315
DALLAS, TX
75230-2579

Practice Phone: 972-566-4888
Practice Fax:

1568395507 — UNIVERSITY PARK IMAGING
Practice Location Address:

7777 FOREST LN STE C112
DALLAS, TX
75230-6832

Practice Phone: 732-379-9252
Practice Fax:

Directions to “IN LIGHT THERAPY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.