Provider Demographics
NPI:1902514144
Name:LOOKING GLASS THERAPY, PLLC
Entity Type:Organization
Organization Name:LOOKING GLASS THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:OSBURN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:508-221-2450
Mailing Address - Street 1:51 LAGUNA RD
Mailing Address - Street 2:
Mailing Address - City:PALMYRA
Mailing Address - State:VA
Mailing Address - Zip Code:22963-2419
Mailing Address - Country:US
Mailing Address - Phone:508-221-2450
Mailing Address - Fax:
Practice Address - Street 1:51 LAGUNA RD
Practice Address - Street 2:
Practice Address - City:PALMYRA
Practice Address - State:VA
Practice Address - Zip Code:22963-2419
Practice Address - Country:US
Practice Address - Phone:508-221-2450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-07
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty