Provider Demographics
NPI:1417638917
Name:LOOKING GLASS COUNSELING, LLC
Entity Type:Organization
Organization Name:LOOKING GLASS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:VAUGHAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:603-261-6045
Mailing Address - Street 1:34 MEETINGHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03087-1508
Mailing Address - Country:US
Mailing Address - Phone:978-595-2058
Mailing Address - Fax:
Practice Address - Street 1:34 MEETINGHOUSE RD
Practice Address - Street 2:
Practice Address - City:WINDHAM
Practice Address - State:NH
Practice Address - Zip Code:03087-1508
Practice Address - Country:US
Practice Address - Phone:978-595-2058
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-27
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty