Trisstan Ja'von Luckett NCC, LPCA

  • NPI 1326522434
According to our database, the NPI number for Trisstan Ja'von Luckett NCC, LPCA is 1326522434 and activated since 5 years ago. Trisstan Ja'von Luckett NCC, LPCA is an individual provider who specializes in Professional, and the primary practice location is 650 Highland Ave, Winston Salem, NC 27101. You can also contact Trisstan Ja'von Luckett NCC, LPCA via telephone number is (336) 607-8523. Provider NPI information was last updated on 09/25/2018.

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Overview of Trisstan Ja'von Luckett NCC, LPCA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 09/25/2018
  • Last updated: 09/25/2018

Primary Scrop of Practice

  • Taxonomy Code: 101YP2500X
  • Specialty: Professional
  • License Number: A12893
  • License State: NC

Provider Mailing Address

  • Address: 284 Executive Park Dr Ste 100
    Concord, NC 28025
  • Phone: 704-939-1100
  • Fax: 704-939-1173

Provider Practice Location

  • Address: 650 Highland Ave
    Winston Salem, NC 27101
  • Phone: 336-607-8523
  • Fax: 336-773-0916

Scope of Practice

  • Taxonomy Code: 101YP2500X
  • Specialty: Professional
  • License Number: A12893
  • License State: NC
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Trisstan Ja'von Luckett NCC, LPCA?
  • A: The npi number for Trisstan Ja'von Luckett NCC, LPCA is 1326522434.
  • Q: What are Trisstan Ja'von Luckett NCC, LPCA's specialties?
  • A: Trisstan Ja'von Luckett NCC, LPCA's specialties are Professional and different specialities.
  • Q: What is the medical license for Trisstan Ja'von Luckett NCC, LPCA?
  • A: The medical license number for Trisstan Ja'von Luckett NCC, LPCA is A12893 and issued in NC in USA.
  • Q: Where is Trisstan Ja'von Luckett NCC, LPCA practice location?
  • A: Trisstan Ja'von Luckett NCC, LPCA is practicing at 650 Highland Ave, Winston Salem, NC 27101.
  • Q: How to contact Trisstan Ja'von Luckett NCC, LPCA?
  • A: You can contact Trisstan Ja'von Luckett NCC, LPCA via 336-607-8523.
Medicare Specialty
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Family Health
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Sports Medicine
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