# LIGHT OF THE PINES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326614678
- **Authorized official:** MRS. JENNIFER ANN YOUNG LPC (LICENSED ADMINISTRATOR)
- **Authorized official phone:** (936) 875-4555

## Contact information

- **Practice address:** 1705A FEAGIN DR \# 164, LUFKIN, TX 75904-5535
- **Practice address phone:** (936) 875-4555
- **Practice address fax:** (936) 236-4715
- **Mailing address:** PO BOX 154735, LUFKIN, TX 75915-4735
- **Mailing address phone:** (936) 875-4555
- **Mailing address fax:** (936) 236-4715

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/27/2021
- **Last updated:** 05/27/2021