| NPI | 1790678225 |
|---|---|
| Doing Business As | LCG THERAPY |
| Entity Type | Organization |
| Authorized Contact | JULIA M COFFMAN Owner 479-553-9396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-06-02 |
| Last Update Date | 2025-06-02 |