| NPI | 1497425615 |
|---|---|
| Former Legal Business Name | LUCE MENTAL HEALTH THERAPIST, LLC |
| Entity Type | Organization |
| Authorized Contact | LUCERO MORSE CEO/Clinical Director 770-810-5764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2021-09-18 |
| Last Update Date | 2021-09-18 |