# KINGDOM COUNSELING SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Stephanie S. Tucker, LCSW
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811322928
- **Authorized official:** MRS. STEPHANIE SWAIN TUCKER LCSW (OWNER/SOLE PRACTITIONER)
- **Authorized official phone:** (434) 515-0503

## Contact information

- **Practice address:** 121 FARLEY BRANCH DRIVE, LYNCHBURG, VA 24502-2363
- **Practice address phone:** (434) 515-0503
- **Practice address fax:** (434) 237-0332
- **Mailing address:** 121 FARLEY BRANCH DRIVE, P.O. BOX 4614, LYNCHBURG, VA 24502-0614
- **Mailing address phone:** (434) 515-0503
- **Mailing address fax:** (434) 237-0332

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 251S00000X | Community/Behavioral Health Agency | 0904007352 | VA | — |

## Other

- **Enumeration date:** 09/09/2013
- **Last updated:** 11/16/2021