Light of the Pines, LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

LIGHT OF THE PINES, LLC

Practice address

1705A Feagin Dr # 164
Lufkin, TX 75904-5535

Phone

(936) 875-4555

Fax

(936) 236-4715

NPI assigned

May 27, 2021

Last updated

May 27, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Jennifer Ann Young, LPC

Title

Licensed Administrator

Phone

(936) 875-4555

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1326614678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 154735",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759154735",
            "telephone_number": "936-875-4555",
            "fax_number": "936-236-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705A FEAGIN DR # 164",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759045535",
            "telephone_number": "936-875-4555",
            "fax_number": "936-236-4715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT OF THE PINES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "LICENSED ADMINISTRATOR",
        "authorized_official_telephone_number": "936-875-4555",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Danielle Lorin Lincoln
• Robert Lindsey, M.D.
• Livewell Counseling and Consulting, PLLC
• LMB Crna, PLLC

• Adolescent and Children Mental Health Clinic/Center in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Adolescent and Children Mental Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.