Healthcare Provider Details

I. General information

NPI: 1962060954
Provider Name (Legal Business Name): LUX COUNSELING & CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2019
Last Update Date: 01/08/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1381 S PATRICK DR
PATRICK AIR FORCE BASE FL
32925-3606
US

IV. Provider business mailing address

754 MAGELLAN DR
FAYETTEVILLE NC
28311
US

V. Phone/Fax

Practice location:
  • Phone: 910-229-6830
  • Fax:
Mailing address:
  • Phone: 910-229-6830
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. STEPHANIE MICHELLE SILVA
Title or Position: OWNER, PROVIDER
Credential: LCSW
Phone: 910-229-6830