Provider Demographics
NPI:1184334419
Name:LUYANDO, MINDY (LADC)
Entity type:Individual
Prefix:
First Name:MINDY
Middle Name:
Last Name:LUYANDO
Suffix:
Gender:F
Credentials:LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12220 HIGHWAY 61
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:CO
Mailing Address - Zip Code:80751-8902
Mailing Address - Country:US
Mailing Address - Phone:970-466-5100
Mailing Address - Fax:
Practice Address - Street 1:921 HICKORY ST
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:NE
Practice Address - Zip Code:69162-1637
Practice Address - Country:US
Practice Address - Phone:970-522-7383
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-28
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)