Healthcare Provider Details

I. General information

NPI: 1568176808
Provider Name (Legal Business Name): GUIDING LANTERN PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2023
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 NAUTICAL LOOP
KYLE TX
78640-2080
US

IV. Provider business mailing address

280 NAUTICAL LOOP
KYLE TX
78640-2080
US

V. Phone/Fax

Practice location:
  • Phone: 512-415-9885
  • Fax:
Mailing address:
  • Phone: 512-864-5878
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: GLADYS JUDITH SANCHEZ
Title or Position: OWNER
Credential: LPC-S
Phone: 512-864-5878