Healthcare Provider Details

I. General information

NPI: 1285447060
Provider Name (Legal Business Name): LUCA COMMUNITY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2025
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3130 N ARIZONA AVE STE 106
CHANDLER AZ
85225-7163
US

IV. Provider business mailing address

382 W STANLEY AVE
QUEEN CREEK AZ
85140-6669
US

V. Phone/Fax

Practice location:
  • Phone: 480-582-4604
  • Fax:
Mailing address:
  • Phone: 480-582-4604
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CRYSTAL RANE BROWN
Title or Position: PRACTICE OWNER
Credential: LAC
Phone: 480-582-4604