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General NPI Number Information
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NPI Number | 1558074856
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Entity Type | Organization
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Legal Business Name | LUTZ COUNSELING AND WELLNESS PLLC
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Dates
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Enumeration Date | 01/02/2023
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Last Update Date | 01/02/2023
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Provider Practice Location Address
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Address Line | 7307 APRIL MIST TRL
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-2344
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Country | US
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Telephone | 704-496-0942
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Fax | 704-946-7079
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Provider Business Mailing Address
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Address Line | 7307 APRIL MIST TRL
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-2344
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Country | US
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Telephone | 704-496-0942
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Fax | 704-946-7079
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | BEVERLY LUTZ
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Credential | MSW LCSW
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Telephone | 704-496-0942
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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