Expansive Light Psychotherapy Pllc
NPI #1285498865 in League City, Texas
Provider Information
- NPI Number
- 1285498865
- Entity Type
- Organization
- Organization Name
- Expansive Light Psychotherapy Pllc
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Feb 13, 2024
- Last Updated
- Feb 13, 2024
Practice Location
- Address
- 2640 E LEAGUE CITY PKWY STE 104-930
- City
- League City
- State
- Texas
- ZIP Code
- 77573-3368
- Phone
- (240) 328-8865
Authorized Official
- Name
- TAMIELLE MAREE TAYLOR, MA, LPC, LCPC
- Title
- MANAGING MEMBER
- Phone
- (240) 328-8865
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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