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NPI Code Detail

MEDICARE: GUIDING LIGHTS CONCIERGE BEHAVIORAL HEALTH SERVICES LLC

MEDICARE: GUIDING LIGHTS CONCIERGE BEHAVIORAL HEALTH SERVICES LLC
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
2251S00000XCommunity/Behavioral Health Agency
3101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1689509820
Entity Type Code : Organization
Provider Name (Legal Business Name) : GUIDING LIGHTS CONCIERGE BEHAVIORAL HEALTH SERVICES LLC
Provider Business Mailing Address
First Line : 5900 BALCONES DR STE 100
Second Line :
City : AUSTIN
State : TX
Zip : 78731-4298
Country : US
Telephone Number : 682-367-7693
Fax Number :
Provider Business Practice Location Address
First Line : 5900 BALCONES DR STE 100
Second Line :
City : AUSTIN
State : TX
Zip : 78731-4298
Country : US
Telephone Number : 682-367-7693
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DAFFNEY JOSSETTE TCHASSEM
Credential : TCHASSEM
Telephone Number : 682-367-7693
Provider Enumeration Date : 06/17/2026
Last Update Date : 06/17/2026

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Directions to “GUIDING LIGHTS CONCIERGE BEHAVIORAL HEALTH SERVICES LLC ” Practice Location

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