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General NPI Number Information
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NPI Number | 1932502309
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Entity Type | Organization
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Legal Business Name | LEWES COUNSELING LLC
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Dates
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Enumeration Date | 09/30/2014
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 300 S DAYTONA AVE UNIT 506
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City | FLAGLER BEACH
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State | FL
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Zip | 32136-0506
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Country | US
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Telephone | 302-430-2127
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 506
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City | FLAGLER BEACH
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State | FL
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Zip | 32136-0506
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Country | US
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Telephone | 302-430-2127
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Fax |
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Authorized Official
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Title or Position | OWNER, THERAPIST
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Name | JEANNE MICHELLE DUKES
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Credential | LCSW
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Telephone | 302-430-2127
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | Q1-0000907
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License Number State | DE
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