Luke Brocco, Lcsw, Llc | |
3232 Yorktown Dr Tallahassee FL 32312-2016 | |
(863) 258-7227 | |
Not Available |
Full Name | Luke Brocco, Lcsw, Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 3232 Yorktown Dr, Tallahassee, Florida |
Authorized Official Name and Position | Luke Byron Brocco (OWNER/THERAPIST) |
Authorized Official Contact | 8632587227 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Luke Brocco, Lcsw, Llc 3232 Yorktown Dr Tallahassee FL 32312-2016 Ph: (863) 258-7227 | Luke Brocco, Lcsw, Llc 3232 Yorktown Dr Tallahassee FL 32312-2016 Ph: (863) 258-7227 |
NPI Number | 1659094142 |
---|---|
Provider Enumeration Date | 09/21/2022 |
Last Update Date | 09/21/2022 |
Certification Date | 09/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659094142 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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