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General NPI Number Information
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NPI Number | 1285297341
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Entity Type | Organization
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Legal Business Name | LUCAS COUNSELING, LLC
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Dates
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Enumeration Date | 04/15/2019
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Last Update Date | 06/23/2023
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Provider Practice Location Address
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Address Line | 5401 ROGERS AVE STE 200
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City | FORT SMITH
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State | AR
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Zip | 72903-3763
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Country | US
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Telephone | 479-235-4658
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Fax |
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Provider Business Mailing Address
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Address Line | 213 SWEET AVE
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City | FORT SMITH
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State | AR
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Zip | 72901-3538
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Country | US
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Telephone | 479-650-9239
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CARRIE ANNE LUCAS
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Credential | LPC, LMFT
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Telephone | 479-650-9239
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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