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1710198593 NPI number — GRETA MARIE LUTMAN LCMHC, LCAS

NPI Number: 1710198593
Health Care Provider/Practitioner: GRETA MARIE LUTMAN LCMHC, LCAS

Information about “1710198593” NPI (GRETA MARIE LUTMAN LCMHC, LCAS) exists in 1710198593 in HTML format HTML  |  1710198593 in plain Text format TXT  |  1710198593 in PDF (Portable Document Format) PDF  |  1710198593 in an XML format XML  formats.

NPI Number : 1710198593 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710198593",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LUTMAN",
    "FirstName": "GRETA",
    "MiddleName": "MARIE",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "LCMHC, LCAS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LUTMAN",
    "OtherFirstName": "GRETA",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "LCMHC, LCAS",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "70 OAK ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CLYDE",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28721-8286",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "828-424-0762",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "70 OAK ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CLYDE",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28721-8286",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "828-424-0762",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/24/2007",
    "LastUpdateDate": "10/27/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "607",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "6849",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "2936",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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