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Organization
LIGHTHOUSE COUNSELING PLLC
Active
Organization
LIGHTHOUSE COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE GERBOZY (MANAGING MEMBER)
(512) 763-2751
Entity
Organization
Contact information
Practice address
3008 DAWN DR STE 101, GEORGETOWN, TX 78628-2822
(512) 763-2751
Mailing address
3008 DAWN DR STE 101, GEORGETOWN, TX 78628-2822
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
51898
TX
Other
Enumeration date
05/04/2017
Last updated
03/17/2018
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