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Organization
STREET LAMP LLC
Active
Organization
STREET LAMP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEVI SMALL (MANAGER)
(412) 818-4115
Entity
Organization
Contact information
Practice address
5710 OLEANDER DR STE 112, WILMINGTON, NC 28403-4722
(412) 818-4115
Mailing address
5710 OLEANDER DR STE 112, WILMINGTON, NC 28403-4722
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/17/2025
Last updated
10/17/2025
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