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General NPI Number Information
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NPI Number | 1316869399
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Entity Type | Organization
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Legal Business Name | LUCERE COUNSELING
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Dates
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Enumeration Date | 07/29/2026
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Last Update Date | 07/29/2026
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Provider Practice Location Address
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Address Line | 101 TIMBERLACHEN CIR STE 201
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City | LAKE MARY
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State | FL
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Zip | 32746-6124
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Country | US
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Telephone | 407-602-4194
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 950103
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City | LAKE MARY
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State | FL
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Zip | 32795-0103
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Country | US
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Telephone | 407-602-4194
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMANDA BUMGARNER
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Credential |
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Telephone | 407-602-4194
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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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