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General NPI Number Information
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NPI Number | 1710830229
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Entity Type | Organization
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Legal Business Name | LUMINARY YOUTH LLC
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Dates
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Enumeration Date | 02/16/2026
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 405 7TH AVE SW
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City | LARGO
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State | FL
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Zip | 33770-3400
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Country | US
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Telephone | 888-966-0123
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Fax |
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Provider Business Mailing Address
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Address Line | 405 7TH AVE SW
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City | LARGO
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State | FL
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Zip | 33770-3400
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Country | US
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Telephone | 888-966-0123
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. ALEXANDER WILLIAMS
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Credential | MSW
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Telephone | 502-681-2490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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