| Jesse Luckett PC | |
|
2643 Heartwood Rd Afton VA 22920-2039 | |
| (720) 234-7549 | |
| Not Available |
| Full Name | Jesse Luckett PC |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2643 Heartwood Rd, Afton, Virginia |
| Authorized Official Name and Position | Jesse Luckett (OWNER) |
| Authorized Official Contact | 7202347549 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse Luckett PC 1020 E Jefferson St Charlottesville VA 22902-5328 | Jesse Luckett PC 2643 Heartwood Rd Afton VA 22920-2039 Ph: (720) 234-7549 |
| NPI Number | 1073435418 |
|---|---|
| Provider Enumeration Date | 07/28/2026 |
| Last Update Date | 07/28/2026 |
| Certification Date | 07/28/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073435418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | () | Primary |
Grazia Foundation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 172 Englande Rock Rd, Afton, VA 22920 Phone: 434-987-3671 |