MEDICARE: LUCA COUNSELING AND WELLNESS CENTER LLC

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	251S00000X	Community/Behavioral Health Agency
3	261QC1500X	Community Health Clinic/Center
4	101YM0800X	Mental Health Counselor
5	261QM1300X	Multi-Specialty Clinic/Center

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1396059531	OTHER		CLINICIAN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1356052815	OTHER	AZ	FOR COMMERCIAL INSURANCE

NPI Number	:	1356052815
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUCA COUNSELING AND WELLNESS CENTER LLC

Provider Business Mailing Address
First Line	:	1347 N ALMA SCHOOL RD STE 200
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85224-5932
Country	:	US
Telephone Number	:	480-582-2871
Fax Number	:

Provider Business Practice Location Address
First Line	:	1347 N ALMA SCHOOL RD STE 200
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85224-5932
Country	:	US
Telephone Number	:	503-798-5509
Fax Number	:

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	MRS. CRYSTAL RAN'E BROWN
Credential	:
Telephone Number	:	480-582-2871

Provider Enumeration Date	:	12/06/2022
Last Update Date	:	05/07/2026

1347 N ALMA SCHOOL RD STE 200
CHANDLER, AZ
85224-5932

Practice Phone: 480-745-4935
Practice Fax: