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NPI Code Detail

MEDICARE: MRS. LADONNA LYNNELL LUCKEY M.S., LPC, LADC-MH

MEDICARE:  MRS. LADONNA LYNNELL LUCKEY  M.S., LPC, LADC-MH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor1268OK
2101YP2500XProfessional Counselor2427OK

General Provider Information

NPI Number : 1255533873
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LADONNA LYNNELL LUCKEY M.S., LPC, LADC-MH
Provider Business Mailing Address
First Line : RESOURCE MANAGEMENT
Second Line : 1300 HOPPE BLVD., SUITE 1
City : ADA
State : OK
Zip : 74820
Country : US
Telephone Number : 580-436-7206
Fax Number : 580-272-5757
Provider Business Practice Location Address
First Line : 710 COLONY DR
Second Line :
City : ADA
State : OK
Zip : 74820-2297
Country : US
Telephone Number : 580-272-5170
Fax Number : 580-272-1357
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2007
Last Update Date : 01/08/2024

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Directions to “ MRS. LADONNA LYNNELL LUCKEY M.S., LPC, LADC-MH” Practice Location

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