BLUE LIGHT COUNSELING NPI 1154780997

NPI Information

  • NPI: 1154780997
  • Provider Name: BLUE LIGHT COUNSELING
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 3008 DAWN DR
    SUITE 101
    GEORGETOWN, TX
    ZIP 78628
  • Phone: (603) 724-0079

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NPI Details

BLUE LIGHT COUNSELING is a professional counselor in Georgetown, TX. BLUE LIGHT COUNSELING NPI is 1154780997. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3008 DAWN DR
SUITE 101
GEORGETOWN, TX
ZIP 78628-821
Phone: (603) 724-0079

The provider's authorized official is Magon Kunes .
The authorized official title is Therapist/owner and has the following contact phone number (603) 724-0079.

The enumeration date for this NPI number is 2/22/2016 and was last updated on 6/1/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional73209TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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