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General NPI Number Information
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NPI Number | 1568276673
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Entity Type | Organization
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Legal Business Name | LUNA PSYCHOTHERAPY AND WELLNESS, LLC
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Dates
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Enumeration Date | 02/07/2025
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 148 E MAIN ST STE 101-102
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City | ROCK HILL
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State | SC
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Zip | 29730-4540
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Country | US
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Telephone | 803-626-9447
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Fax |
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Provider Business Mailing Address
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Address Line | 148 E MAIN ST STE 101-102
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City | ROCK HILL
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State | SC
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Zip | 29730-4540
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Country | US
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Telephone | 803-626-9447
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ELIZABETH LOMBARDO
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Credential | MS, LPC, LCMHC, RYT
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Telephone | 803-209-4403
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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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