| Luke Brocco, Lcsw, Llc | |
|
1114 Thomasville Rd Ste E-3 Tallahassee FL 32303-6288 | |
| (850) 203-0214 | |
| (855) 595-2914 |
| Full Name | Luke Brocco, Lcsw, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1114 Thomasville Rd Ste E-3, Tallahassee, Florida |
| Authorized Official Name and Position | Luke Byron Brocco (OWNER/THERAPIST) |
| Authorized Official Contact | 8502030214 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luke Brocco, Lcsw, Llc 1114 Thomasville Rd Ste E-3 Tallahassee FL 32303-6288 Ph: (850) 203-0214 | Luke Brocco, Lcsw, Llc 1114 Thomasville Rd Ste E-3 Tallahassee FL 32303-6288 Ph: (850) 203-0214 |
| NPI Number | 1659094142 |
|---|---|
| Provider Enumeration Date | 09/21/2022 |
| Last Update Date | 07/19/2024 |
| Certification Date | 07/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659094142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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