| Natalia Lueck Lpc | |
|
92 Main St Ste 201 Warrenton VA 20186-3370 | |
| (703) 997-6641 | |
| (540) 390-0002 |
| Full Name | Natalia Lueck Lpc |
|---|---|
| Speciality | Counselor |
| Location | 92 Main St Ste 201, Warrenton, Virginia |
| Authorized Official Name and Position | Natalia Lueck (OWNER) |
| Authorized Official Contact | 7033098520 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Natalia Lueck Lpc 92 Main St Ste 201 Warrenton VA 20186-3370 Ph: (703) 997-6641 | Natalia Lueck Lpc 92 Main St Ste 201 Warrenton VA 20186-3370 Ph: (703) 997-6641 |
| NPI Number | 1174181168 |
|---|---|
| Provider Enumeration Date | 06/04/2019 |
| Last Update Date | 08/02/2019 |
| Medicare PECOS PAC ID | 4880030667 |
|---|---|
| Medicare Enrollment ID | O20240315000080 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174181168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Natalia La Maestra Lueck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174830921 PECOS PAC ID: 5799121570 Enrollment ID: I20240315000104 |
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