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
—
—
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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