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General NPI Number Information
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NPI Number | 1962060954
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Entity Type | Organization
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Legal Business Name | LUX COUNSELING & CONSULTING, LLC
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Dates
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Enumeration Date | 06/04/2019
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 1381 S PATRICK DR
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City | PATRICK AIR FORCE BASE
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State | FL
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Zip | 32925-3606
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Country | US
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Telephone | 910-229-6830
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Fax |
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Provider Business Mailing Address
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Address Line | 754 MAGELLAN DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28311
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Country | US
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Telephone | 910-229-6830
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Fax |
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Authorized Official
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Title or Position | OWNER, PROVIDER
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Name | MRS. STEPHANIE MICHELLE SILVA
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Credential | LCSW
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Telephone | 910-229-6830
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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