Provider Demographics
NPI:1265277024
Name:LUEVANO, ABRAN AGAPITO (LMSW)
Entity type:Individual
Prefix:
First Name:ABRAN
Middle Name:AGAPITO
Last Name:LUEVANO
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2764 JANSEN AVE
Mailing Address - Street 2:
Mailing Address - City:OPELIKA
Mailing Address - State:AL
Mailing Address - Zip Code:36804-6224
Mailing Address - Country:US
Mailing Address - Phone:817-995-9371
Mailing Address - Fax:
Practice Address - Street 1:5809 US HIGHWAY 280 E
Practice Address - Street 2:
Practice Address - City:OPELIKA
Practice Address - State:AL
Practice Address - Zip Code:36804-8515
Practice Address - Country:US
Practice Address - Phone:334-664-0463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL6679G104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker