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Organization

EXPANSIVE LIGHT PSYCHOTHERAPY PLLC

Active
Other names
Expansive Light Psychotherapy LLC
Organization subpart
No

Provider details

NPI number
Authorized official
TAMIELLE MAREE TAYLOR MA, LPC, LCPC (MANAGING MEMBER)
(240) 328-8865
Entity
Organization

Contact information

Practice address
2640 E LEAGUE CITY PKWY STE 104-930, LEAGUE CITY, TX 77573-3368
(240) 328-8865
Mailing address
2640 E LEAGUE CITY PKWY STE 104-930, LEAGUE CITY, TX 77573-3368
(240) 328-8865

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
02/13/2024
Last updated
02/13/2024
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