Provider Demographics
NPI:1487105011
Name:LIGHTHOUSE PROFESSIONAL COUNSELING, PLLC
Entity type:Organization
Organization Name:LIGHTHOUSE PROFESSIONAL COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LBSW, CRC, LPC
Authorized Official - Phone:5125-630-1929
Mailing Address - Street 1:101 W 1ST ST
Mailing Address - Street 2:STE F
Mailing Address - City:ELGIN
Mailing Address - State:TX
Mailing Address - Zip Code:78621-2659
Mailing Address - Country:US
Mailing Address - Phone:512-563-0192
Mailing Address - Fax:512-852-4742
Practice Address - Street 1:101 W 1ST ST
Practice Address - Street 2:STE F
Practice Address - City:ELGIN
Practice Address - State:TX
Practice Address - Zip Code:78621-2659
Practice Address - Country:US
Practice Address - Phone:512-563-0192
Practice Address - Fax:512-852-4742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-19
Last Update Date:2017-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71886101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty