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General NPI Number Information
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NPI Number | 1174334023
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Entity Type | Organization
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Legal Business Name | LIGHTHOUSE THERAPY & ASSESSMENT SERVICES PLLC
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Dates
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Enumeration Date | 01/17/2025
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Last Update Date | 03/05/2026
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Provider Practice Location Address
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Address Line | 911NORTHWEST LOOP 281 SUITE 312
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City | LONGVIEW
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State | TX
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Zip | 75604
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Country | US
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Telephone | 469-334-3615
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Fax | 469-361-8241
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Provider Business Mailing Address
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Address Line | 414 LURA ST
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City | LONGVIEW
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State | TX
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Zip | 75603-9322
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Country | US
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Telephone | 469-334-3615
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Fax | 469-361-8241
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | TAYLOR PARKER
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Credential | LPC, ICST.
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Telephone | 903-736-1028
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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