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General NPI Number Information
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NPI Number | 1255258497
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Entity Type | Organization
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Legal Business Name | LUMEN CENTER FOR WELLNESS, PLLC
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Dates
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Enumeration Date | 06/30/2026
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Last Update Date | 06/30/2026
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Provider Practice Location Address
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Address Line | 1013 STEVENSON DR
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City | WILMINGTON
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State | NC
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Zip | 28405-1532
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Country | US
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Telephone | 910-742-2219
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Fax |
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Provider Business Mailing Address
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Address Line | 1013 STEVENSON DR
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City | WILMINGTON
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State | NC
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Zip | 28405-1532
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Country | US
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Telephone | 910-742-2219
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Fax |
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Authorized Official
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Title or Position | OWNER AND CLINICAL DIRECTOR
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Name | MISS CLARE NICOLE ROLQUIN
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Credential | LCSW, LCAS
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Telephone | 910-742-2219
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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