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General NPI Number Information
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NPI Number | 1841014370
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Entity Type | Organization
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Legal Business Name | LUMVIA LLC
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Dates
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Enumeration Date | 11/12/2024
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 14743 OLD BANDERA RD UNIT 14101
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City | HELOTES
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State | TX
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Zip | 78023-3889
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Country | US
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Telephone | 210-858-6127
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Fax |
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Provider Business Mailing Address
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Address Line | 7530 ACORN BEND DR
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City | SAN ANTONIO
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State | TX
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Zip | 78250-6029
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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 | FOUNDER
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Name | JEANETTE LIRA
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Credential | LPC-S
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Telephone | 210-858-6127
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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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