Provider Demographics
NPI:1891827242
Name:LUFFMAN, KAY KEY (LPC)
Entity Type:Individual
Prefix:MS
First Name:KAY
Middle Name:KEY
Last Name:LUFFMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 336
Mailing Address - Street 2:82 HICKORY DRIVE
Mailing Address - City:SPARTA
Mailing Address - State:NC
Mailing Address - Zip Code:28675-0336
Mailing Address - Country:US
Mailing Address - Phone:336-372-4432
Mailing Address - Fax:336-372-4432
Practice Address - Street 1:82 HICKORY DRIVE
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:NC
Practice Address - Zip Code:28675-0336
Practice Address - Country:US
Practice Address - Phone:336-372-4432
Practice Address - Fax:336-372-4432
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3305101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6102438Medicaid