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Organization
LIGHT OF THE PINES, LLC
Active
Organization
LIGHT OF THE PINES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER ANN YOUNG LPC (LICENSED ADMINISTRATOR)
(936) 875-4555
Entity
Organization
Contact information
Practice address
1705A FEAGIN DR # 164, LUFKIN, TX 75904-5535
(936) 875-4555
(936) 236-4715
Mailing address
PO BOX 154735, LUFKIN, TX 75915-4735
(936) 875-4555
(936) 236-4715
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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