Healthcare Provider Details

I. General information

NPI: 1750245718
Provider Name (Legal Business Name): LUECK FAMILY THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

828 GREENE ST
AUGUSTA GA
30901-0214
US

IV. Provider business mailing address

2450 RIVERLOOK DR
AUGUSTA GA
30904-3375
US

V. Phone/Fax

Practice location:
  • Phone: 706-204-9544
  • Fax:
Mailing address:
  • Phone: 706-203-9544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MORGAN LUECK
Title or Position: OWNER
Credential: LMFT
Phone: 615-202-4016