MEDICARE: LUCNISE METELLUS LMHC

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1821867219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUCNISE METELLUS LMHC

Provider Business Mailing Address
First Line	:	1457 WATERVIEW RIDGE CIR
Second Line	:
City	:	APOPKA
State	:	FL
Zip	:	32703-6236
Country	:	US
Telephone Number	:	407-756-2238
Fax Number	:

Provider Business Practice Location Address
First Line	:	1457 WATERVIEW RIDGE CIR
Second Line	:
City	:	APOPKA
State	:	FL
Zip	:	32703-6236
Country	:	US
Telephone Number	:	407-756-2238
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2023
Last Update Date	:	04/02/2026

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Directions to “ LUCNISE METELLUS LMHC” Practice Location

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