Provider Demographics
NPI:1699848275
Name:GARMON FAMILY COUNSELING, PA
Entity Type:Organization
Organization Name:GARMON FAMILY COUNSELING, PA
Other - Org Name:LIGHTHOUSE COUNSELING SERVICES, PA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TOMMI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:GARMON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC-S, NCC, RPT
Authorized Official - Phone:972-948-4255
Mailing Address - Street 1:6021 MORRISS RD
Mailing Address - Street 2:109A
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-3710
Mailing Address - Country:US
Mailing Address - Phone:972-948-4255
Mailing Address - Fax:972-539-3185
Practice Address - Street 1:6021 MORRISS RD
Practice Address - Street 2:109A
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-3710
Practice Address - Country:US
Practice Address - Phone:972-948-4255
Practice Address - Fax:972-539-3185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18274101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX10017433OtherAMERIGROUP