Provider Demographics
NPI:1245847805
Name:REYES, LUCERNE (MSW)
Entity type:Individual
Prefix:MS
First Name:LUCERNE
Middle Name:
Last Name:REYES
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:LUCERNE
Other - Middle Name:
Other - Last Name:LOUISSAINT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1060 SUNSET STRIP
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33313-6106
Mailing Address - Country:US
Mailing Address - Phone:954-333-8787
Mailing Address - Fax:
Practice Address - Street 1:1060 SUNSET STRIP
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33313-6106
Practice Address - Country:US
Practice Address - Phone:954-333-8787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-28
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health