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NPI Code Detail

MEDICARE: LUCERO WELLBEING

MEDICARE: LUCERO WELLBEING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0855XAdolescent and Children Mental Health Clinic/Center
2261QM0850XAdult Mental Health Clinic/Center
3251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1700637154
Entity Type Code : Organization
Provider Name (Legal Business Name) : LUCERO WELLBEING
Provider Business Mailing Address
First Line : 10161 PARK RUN DR STE 150
Second Line :
City : LAS VEGAS
State : NV
Zip : 89145-8872
Country : US
Telephone Number : 213-259-3404
Fax Number :
Provider Business Practice Location Address
First Line : 10161 PARK RUN DR STE 150
Second Line :
City : LAS VEGAS
State : NV
Zip : 89145-8872
Country : US
Telephone Number : 213-259-3404
Fax Number :
Authorized Official
Title or Position : CHIEF CLINICAL PSYCHOLOGIST
Name : DR. LUZ ALEHIDA ROBLES
Credential : PSY.D
Telephone Number : 213-259-3404
Provider Enumeration Date : 04/01/2024
Last Update Date : 01/29/2026

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Directions to “LUCERO WELLBEING ” Practice Location

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