Provider Demographics
NPI:1720403835
Name:LUCE, SARA (LCPC)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:LUCE
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1580 S MILWAUKEE AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:LIBERTYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60048-3772
Mailing Address - Country:US
Mailing Address - Phone:847-426-7841
Mailing Address - Fax:
Practice Address - Street 1:1580 S MILWAUKEE AVE STE 202
Practice Address - Street 2:
Practice Address - City:LIBERTYVILLE
Practice Address - State:IL
Practice Address - Zip Code:60048-3772
Practice Address - Country:US
Practice Address - Phone:224-426-7841
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-26
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC16642101YP2500X
IL180013253101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional