Provider Demographics
NPI:1407072671
Name:LUTES, JEFFREY STEPHEN (MS, LPC)
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:STEPHEN
Last Name:LUTES
Suffix:
Gender:M
Credentials:MS, LPC
Other - Prefix:
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Mailing Address - Street 1:515 CONGRESS AVE
Mailing Address - Street 2:SUITE 1330
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701-3504
Mailing Address - Country:US
Mailing Address - Phone:512-419-0600
Mailing Address - Fax:512-542-9581
Practice Address - Street 1:515 CONGRESS AVE
Practice Address - Street 2:SUITE 1330
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78701-3504
Practice Address - Country:US
Practice Address - Phone:512-419-0600
Practice Address - Fax:512-542-9581
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX9690101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional