Provider Demographics
NPI:1710198593
Name:LUTMAN, GRETA MARIE (LPC, LCAS)
Entity Type:Individual
Prefix:MS
First Name:GRETA
Middle Name:MARIE
Last Name:LUTMAN
Suffix:
Gender:F
Credentials:LPC, LCAS
Other - Prefix:MS
Other - First Name:GRETA
Other - Middle Name:MARIE
Other - Last Name:LUTMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, LCAS
Mailing Address - Street 1:177 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WAYNESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28786-3809
Mailing Address - Country:US
Mailing Address - Phone:828-424-0762
Mailing Address - Fax:
Practice Address - Street 1:177 N MAIN ST
Practice Address - Street 2:
Practice Address - City:WAYNESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28786
Practice Address - Country:US
Practice Address - Phone:828-424-0762
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2019-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC607101YA0400X
GA6849101YP2500X
NC2936101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)