Organization
LIGHTHOUSE PSYCHOLOGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NASTASSIA GREER PHD (PSYCHOLOGIST/OWNER)
(817) 760-0349
Entity
Organization
Contact information
Practice address
9500 RAY WHITE RD STE 200, FORT WORTH, TX 76244-9105
(817) 760-0349
Mailing address
9500 RAY WHITE RD STE 200, FORT WORTH, TX 76244-9105
(817) 760-0349
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/01/2020
Last updated
05/13/2020
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