Healthcare Provider Details

I. General information

NPI: 1083062038
Provider Name (Legal Business Name): LISA LUKE LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2016
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 MAIN ST FL 4
HUDSON MA
01749-2166
US

IV. Provider business mailing address

45 MAIN ST FL 4
HUDSON MA
01749-2166
US

V. Phone/Fax

Practice location:
  • Phone: 978-333-7426
  • Fax:
Mailing address:
  • Phone: 978-333-7426
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number11214
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: