| NPI | 1356052815 |
|---|---|
| Former Legal Business Name | LUCA COUNSELING AND WELLNESS CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL RAN'E BROWN CEO/Owner 480-582-2871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2022-12-06 |
| Last Update Date | 2024-10-31 |