Provider Demographics
NPI:1568047603
Name:STRAWN, LUKE (NCC, LCMHCA)
Entity Type:Individual
Prefix:
First Name:LUKE
Middle Name:
Last Name:STRAWN
Suffix:
Gender:M
Credentials:NCC, LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 WARREN WILSON RD # CPO6293
Mailing Address - Street 2:
Mailing Address - City:SWANNANOA
Mailing Address - State:NC
Mailing Address - Zip Code:28778-2042
Mailing Address - Country:US
Mailing Address - Phone:772-361-2974
Mailing Address - Fax:
Practice Address - Street 1:701 WARREN WILSON RD
Practice Address - Street 2:
Practice Address - City:SWANNANOA
Practice Address - State:NC
Practice Address - Zip Code:28778-2042
Practice Address - Country:US
Practice Address - Phone:828-799-0354
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-10
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA15273101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health