Organization
LIGHT HEART COUNSELING AND THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD THIRY III LSW (OWNER)
(814) 528-5323
Entity
Organization
Contact information
Practice address
4845 W LAKE RD, SUITE 120, ERIE, PA 16505-2973
(814) 528-5323
(814) 725-0707
Mailing address
4845 W LAKE RD, SUITE 120, ERIE, PA 16505-2973
(814) 528-5323
(814) 725-0707
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW125058
PA
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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