Provider Demographics
NPI:1134427131
Name:LUKIC, LORETTA A (LMHC, LPC, CAP)
Entity type:Individual
Prefix:
First Name:LORETTA
Middle Name:A
Last Name:LUKIC
Suffix:
Gender:F
Credentials:LMHC, LPC, CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8360 SW CATTLEYA DR
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997-4863
Mailing Address - Country:US
Mailing Address - Phone:772-233-7343
Mailing Address - Fax:
Practice Address - Street 1:1717 20TH AVE
Practice Address - Street 2:SUITE #201
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-3652
Practice Address - Country:US
Practice Address - Phone:772-233-7343
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701993981101YP2500X
VA0718000199101YA0400X
FLMH9847101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)