=====================================================
General NPI Number Information
=====================================================
NPI Number | 1275411035
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CRIMSON COUNSELING LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/21/2025
-----------------------------------------------------
Last Update Date | 08/28/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9770 CAMPI DR
-----------------------------------------------------
City | LAKE WORTH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33467-6996
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-621-9983
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9770 CAMPI DR
-----------------------------------------------------
City | LAKE WORTH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33467-6996
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-621-9983
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/CEO
-----------------------------------------------------
Name | KAREN LUCCHESI
-----------------------------------------------------
Credential | LMHC
-----------------------------------------------------
Telephone | 561-621-9983
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------