Healthcare Provider Details

I. General information

NPI: 1861790263
Provider Name (Legal Business Name): ELIZABETH B LUCE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2011
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1290 MAIN ST STE C
DAPHNE AL
36526-8624
US

IV. Provider business mailing address

1290 MAIN ST STE C
DAPHNE AL
36526-8624
US

V. Phone/Fax

Practice location:
  • Phone: 251-402-3982
  • Fax:
Mailing address:
  • Phone: 251-402-3982
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number3059
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: