Provider Demographics
NPI:1790458685
Name:LED LUX, PLLC
Entity Type:Organization
Organization Name:LED LUX, PLLC
Other - Org Name:LUXTERRA COUNSELING, PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:DEVORE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:203-204-3922
Mailing Address - Street 1:44 POWDER MILL RD UNIT B
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06614-8427
Mailing Address - Country:US
Mailing Address - Phone:203-209-3296
Mailing Address - Fax:
Practice Address - Street 1:935 WHITE PLAINS RD STE 203
Practice Address - Street 2:
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-4547
Practice Address - Country:US
Practice Address - Phone:203-204-3922
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-27
Last Update Date:2023-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health