Provider Demographics
NPI:1346463023
Name:YOUTHE LIGHT THE MUSIC PATHWAYS ENVIRONMENTS FOR ENERGETIC HEALING LLC
Entity Type:Organization
Organization Name:YOUTHE LIGHT THE MUSIC PATHWAYS ENVIRONMENTS FOR ENERGETIC HEALING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:GILBERT
Authorized Official - Last Name:LEHMANN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:818-219-5713
Mailing Address - Street 1:17945 TULSA ST
Mailing Address - Street 2:
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-4427
Mailing Address - Country:US
Mailing Address - Phone:818-219-5713
Mailing Address - Fax:818-832-8931
Practice Address - Street 1:17945 TULSA ST
Practice Address - Street 2:
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344-4427
Practice Address - Country:US
Practice Address - Phone:818-219-5713
Practice Address - Fax:818-832-8931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSYCHOLOGY 18029103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty