Patricia Luckey, | |
1800 Wesley Rd, Auburn, IN 46706-3653 | |
(260) 925-2453 | |
Not Available |
Full Name | Patricia Luckey |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1800 Wesley Rd, Auburn, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972388429 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 39002885A (Indiana) | Primary |
Entity Name | Northeastern Center, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720140908 PECOS PAC ID: 6709795636 Enrollment ID: O20040605000289 |
Mailing Address | Practice Location Address |
---|---|
Patricia Luckey, 220 S Main St, Kendallville, IN 46755-1718 Ph: (260) 242-5592 | Patricia Luckey, 1800 Wesley Rd, Auburn, IN 46706-3653 Ph: (260) 925-2453 |
Toni Harmon, MSED Counselor Medicare: Not Enrolled in Medicare Practice Location: 923 Cardinal Ct, Auburn, IN 46706 Phone: 260-925-8035 Fax: 260-925-8034 | |
Mrs. Brooke Bartels, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5903 Garman Rd, Auburn, IN 46706 Phone: 260-466-7684 | |
Alyssa Hale, Counselor Medicare: Not Enrolled in Medicare Practice Location: 923 Cardinal Ct, Auburn, IN 46706 Phone: 260-925-8035 | |
Bernadine R Paquette, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1800 Wesley Rd, Auburn, IN 46706 Phone: 260-925-2453 | |
Brandon Bower, LCAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 138 E 7th St, Auburn, IN 46706 Phone: 260-333-6707 | |
Amy L Drake, MSW, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 117 W 9th St, Auburn, IN 46706 Phone: 260-925-2017 | |
Dorothy A Fuentes, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1800 Wesley Rd, Auburn, IN 46706 Phone: 260-925-2453 Fax: 260-925-0830 |