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General NPI Number Information
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NPI Number | 1558272864
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Entity Type | Organization
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Legal Business Name | LUMINARY COUNSELING, LLC
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Dates
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Enumeration Date | 09/15/2026
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Last Update Date | 09/15/2026
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Provider Practice Location Address
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Address Line | 105 3RD ST NW STE A
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City | FORT PAYNE
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State | AL
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Zip | 35967-2101
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Country | US
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Telephone | 256-304-5712
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 680271
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City | FORT PAYNE
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State | AL
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Zip | 35968-1617
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Country | US
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Telephone | 205-382-0932
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Fax |
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Authorized Official
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Title or Position | ASSOCIATE LICENSED COUNSELOR/OWNER
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Name | LAURA LEONARD ROBERTS
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Credential | MS, ALC, NCC
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Telephone | 205-382-0932
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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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