Provider Demographics
NPI:1720552250
Name:JEFF LUTES COUNSELING & CONSULTING
Entity Type:Organization
Organization Name:JEFF LUTES COUNSELING & CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:S
Authorized Official - Last Name:LUTES
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:512-419-0600
Mailing Address - Street 1:1101 S CAPITAL OF TEXAS HWY STE A290
Mailing Address - Street 2:
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-6440
Mailing Address - Country:US
Mailing Address - Phone:512-419-0600
Mailing Address - Fax:866-288-9898
Practice Address - Street 1:1101 S CAPITAL OF TEXAS HWY STE A290
Practice Address - Street 2:
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-6440
Practice Address - Country:US
Practice Address - Phone:512-419-0600
Practice Address - Fax:866-288-9898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-17
Last Update Date:2019-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty