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
—
—
251S00000X
Community/Behavioral Health Agency
0904007352
VA
Other
Enumeration date
09/09/2013
Last updated
11/16/2021
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