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Organization
LUNA COUNSELING, LLC
Active
Organization
LUNA COUNSELING, LLC
Active
Parent organization
LUNA COUNSELING, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LUNA COUNSELING, LLC
Authorized official
MS. JORDAN LEA PREBYS MA, LPCC, RPT, SP (OWNER/LICENSED COUNSELOR)
(937) 717-8643
Entity
Organization
Contact information
Practice address
30 WARDER ST STE 165, SPRINGFIELD, OH 45504-2500
(937) 717-8643
Mailing address
5959 E CASSTOWN CLARK RD, CASSTOWN, OH 45312-9746
(937) 717-8643
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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