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General NPI Number Information
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NPI Number | 1811756299
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Entity Type | Organization
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Legal Business Name | LUMINAPATH COUNSELING AND WELLNESS
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Dates
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Enumeration Date | 03/18/2024
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Last Update Date | 01/05/2025
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Provider Practice Location Address
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Address Line | 454 PERRY HWY
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City | PITTSBURGH
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State | PA
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Zip | 15229-1819
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Country | US
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Telephone | 724-217-4227
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Fax |
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Provider Business Mailing Address
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Address Line | 1518 BROADWAY AVE
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City | MC KEES ROCKS
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State | PA
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Zip | 15136-1704
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PROFESSIONAL COUNSELOR
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Name | PAIGE MALNOFSKY
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Credential | MS, LPC, NCC
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Telephone | 724-217-4227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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