Ms Karola Durrette Luckham, LMHC | |
130 Maple St Ste 205, Springfield, MA 01103-2214 | |
(413) 739-0882 | |
Not Available |
Full Name | Ms Karola Durrette Luckham |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 130 Maple St Ste 205, Springfield, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013111418 | NPI | - | NPPES |
1307819 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 4838 (Massachusetts) | Primary |
Entity Name | Center For Human Development, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912099219 PECOS PAC ID: 7618950874 Enrollment ID: O20041129000514 |
Mailing Address | Practice Location Address |
---|---|
Ms Karola Durrette Luckham, LMHC 68 Warregan St, Chicopee, MA 01013-2357 Ph: (413) 533-7740 | Ms Karola Durrette Luckham, LMHC 130 Maple St Ste 205, Springfield, MA 01103-2214 Ph: (413) 739-0882 |
Mrs. Linda Ann Lynch, RN, LADC 1 Counselor Medicare: Not Enrolled in Medicare Practice Location: 2257 Main St, Springfield, MA 01107 Phone: 413-733-3488 Fax: 413-731-7381 | |
Ms. Alycia Felton, B.S.W Counselor Medicare: Not Enrolled in Medicare Practice Location: 1695 Main Street, Springfield, MA 01103 Phone: 413-739-5572 | |
Ms. Jeanette Alicea, Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Maple St, Springfield, MA 01103 Phone: 413-846-0445 Fax: 413-846-0447 | |
Gustavo Adolfo Guevara, Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Maple St, Springfield, MA 01105 Phone: 413-736-0127 Fax: 413-781-1059 | |
Edna A Martinez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Maple St, Springfield, MA 01105 Phone: 413-846-0445 Fax: 413-846-0447 | |
Jessica N Darling, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1695 Main St, Springfield, MA 01103 Phone: 413-739-5572 Fax: 413-739-9972 | |
Leah Kabue, Counselor Medicare: Not Enrolled in Medicare Practice Location: 44 Sherman St, Springfield, MA 01109 Phone: 413-739-5626 |