MEDICARE: DR. ONZIE LUKE, LPC

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
2	103TC1900X	Counseling Psychologist

General Provider Information

NPI Number	:	1851255160
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. ONZIE LUKE, LPC

Provider Business Mailing Address
First Line	:	PO BOX 43
Second Line	:
City	:	MOSELEY
State	:	VA
Zip	:	23120-0043
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2025 E MAIN ST STE 212
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23223-7073
Country	:	US
Telephone Number	:	804-410-1483
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. ONZIE LUKE
Credential	:
Telephone Number	:	804-488-5155

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/11/2025

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