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General NPI Number Information
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NPI Number | 1265229793
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Entity Type | Organization
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Legal Business Name | LUKE S HOUSE FOR BEHAVIORAL HEALTH PLLC
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 99 N E ST
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City | ELOY
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State | AZ
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Zip | 85131-2422
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Country | US
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Telephone | 520-866-1532
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Fax |
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Provider Business Mailing Address
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Address Line | 708 N SUNSHINE BLVD
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City | ELOY
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State | AZ
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Zip | 85131-2142
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Country | US
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Telephone | 520-208-0063
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Fax | 520-542-2400
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Authorized Official
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Title or Position | ADMINISTRATIVE DIRECTOR
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Name | SONNETTE CHERRY FEDERICO
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Credential |
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Telephone | 520-208-0063
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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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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