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LUKE BROCCO, LCSW, LLC
NPI 1659094142
Clinic/Center - Mental Health (Including Community Mental Health Center) in Tallahassee, FL

Active since September 21, 2022
1114 THOMASVILLE RD STE E-3, TALLAHASSEE, FL 32303(850) 203-0214(855) 595-2914 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 19, 2024, Sep 21, 2022 (2 updates tracked since 2022).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About LUKE BROCCO, LCSW, LLC

This page provides the complete NPI Profile along with additional information for Luke Brocco, Lcsw, Llc, a provider established in Tallahassee, Florida operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1659094142 assigned on September 2022. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Mr. Luke Byron Brocco Lcsw (Owner/therapist)

NPI
1659094142 Verify this NPI
Provider Name
LUKE BROCCO, LCSW, LLC
Entity Type
Organization
Location Address
1114 THOMASVILLE RD STE E-3 TALLAHASSEE, FL 32303
Location Phone
(850) 203-0214
Location Fax
(855) 595-2914
Mailing Address
1114 THOMASVILLE RD STE E-3 TALLAHASSEE, FL 32303
Mailing Phone
(850) 203-0214
Mailing Fax
(855) 595-2914
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-21-2022
Last Update Date
07-19-2024
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. LUKE BYRON BROCCO LCSW

Authorized Official Title
OWNER/THERAPIST
Authorized Official Phone
(850) 203-0214

Reviews for LUKE BROCCO, LCSW, LLC

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

MR. LUKE BYRON BROCCO LCSW
Social Worker (Clinical)
1114 THOMASVILLE RD STE E-3
TALLAHASSEE, FL 32303
Leon County (850) 203-0214

Frequently Asked Questions

What is LUKE BROCCO, LCSW, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1659094142, enumerated as an "organization" on September 21, 2022.

Where is the provider located?

The provider is located at 1114 THOMASVILLE RD STE E-3 TALLAHASSEE, FL 32303 and the phone number is (850) 203-0214.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).