Provider Demographics
NPI:1558074856
Name:LUTZ COUNSELING AND WELLNESS PLLC
Entity Type:Organization
Organization Name:LUTZ COUNSELING AND WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:LUTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MSW LCSW
Authorized Official - Phone:704-496-0942
Mailing Address - Street 1:7307 APRIL MIST TRL
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-2344
Mailing Address - Country:US
Mailing Address - Phone:704-496-0942
Mailing Address - Fax:704-946-7079
Practice Address - Street 1:7307 APRIL MIST TRL
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-2344
Practice Address - Country:US
Practice Address - Phone:704-496-0942
Practice Address - Fax:704-946-7079
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LUTZ COUNSELING AND WELLNESS PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-01-02
Last Update Date:2023-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health