Provider Demographics
NPI:1255533873
Name:LUCKEY, LADONNA LYNNELL (MS, LPC, LADC-MH)
Entity type:Individual
Prefix:MRS
First Name:LADONNA
Middle Name:LYNNELL
Last Name:LUCKEY
Suffix:
Gender:F
Credentials:MS, LPC, LADC-MH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RESOURCE MANAGEMENT
Mailing Address - Street 2:1300 HOPPE BLVD., SUITE 1
Mailing Address - City:ADA
Mailing Address - State:OK
Mailing Address - Zip Code:74820
Mailing Address - Country:US
Mailing Address - Phone:580-436-7206
Mailing Address - Fax:580-272-5757
Practice Address - Street 1:710 COLONY DR
Practice Address - Street 2:
Practice Address - City:ADA
Practice Address - State:OK
Practice Address - Zip Code:74820-2297
Practice Address - Country:US
Practice Address - Phone:580-272-5170
Practice Address - Fax:580-272-1357
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1268101YA0400X
OK2427101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty