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General NPI Number Information
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NPI Number | 1154899581
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Entity Type | Organization
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Legal Business Name | LUMINOUS CLARITY FAMILY THERAPY, INC
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Dates
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Enumeration Date | 11/03/2018
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 3717 E THOUSAND OAKS BLVD STE 310
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91362-3607
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Country | US
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Telephone | 805-267-1869
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Fax |
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Provider Business Mailing Address
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Address Line | 3717 E THOUSAND OAKS BLVD STE 310
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91362-3607
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Country | US
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Telephone | 805-267-1869
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Fax |
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Authorized Official
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Title or Position | FOUNDER/CEO
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Name | MISS BRITTNEY HENDERSON
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Credential | LMFT
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Telephone | 310-697-6264
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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