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Organization
KINGDOM COUNSELING SERVICES, LLC
Active
Organization
KINGDOM COUNSELING SERVICES, LLC
Active
Other names
Stephanie S. Tucker, LCSW
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE SWAIN TUCKER LCSW (OWNER/SOLE PRACTITIONER)
(434) 515-0503
Entity
Organization
Contact information
Practice address
121 FARLEY BRANCH DRIVE, LYNCHBURG, VA 24502-2363
(434) 515-0503
(434) 237-0332
Mailing address
121 FARLEY BRANCH DRIVE, P.O. BOX 4614, LYNCHBURG, VA 24502-0614
(434) 515-0503
(434) 237-0332
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
0904007352
VA
Other
Enumeration date
09/09/2013
Last updated
11/16/2021
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