Healthcare Provider Details

I. General information

NPI: 1467378794
Provider Name (Legal Business Name): FACE TO FACE EVALS LUCKETTE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9505 HILLWOOD DR STE 100
LAS VEGAS NV
89134-0514
US

IV. Provider business mailing address

5840 W CRAIG RD STE 120 UNIT 388
LAS VEGAS NV
89130-2562
US

V. Phone/Fax

Practice location:
  • Phone: 702-409-6935
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ADAM LUCKETTE
Title or Position: OWNER
Credential:
Phone: 702-406-6935