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General NPI Number Information
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NPI Number | 1871186718
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Entity Type | Organization
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Legal Business Name | LIGHTSHIP FAMILY COUNSELING, LLC
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Dates
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Enumeration Date | 02/11/2021
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Last Update Date | 03/20/2024
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Provider Practice Location Address
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Address Line | 24 BATTLE ST STE 2A
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City | SOMERS
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State | CT
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Zip | 06071-1629
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Country | US
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Telephone | 860-331-9548
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Fax | 860-969-2939
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Provider Business Mailing Address
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Address Line | PO BOX 1258
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City | SOMERS
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State | CT
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Zip | 06071-4458
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Country | US
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Telephone | 860-331-9548
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Fax | 860-969-2939
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Authorized Official
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Title or Position | OWNER, PROVIDER
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Name | CASSAUNDRA E POPEK
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Credential | LMFT, ERPSCC, PMH-C
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Telephone | 860-331-9548
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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