ANETRICE LUCKETT
NPI 1891552105
Counselor - Mental Health in Aurora, IL
Active since March 04, 2024
About Anetrice Luckett NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANETRICE LUCKETT (NPI 1891552105) is an individual mental health provider in Aurora, Illinois and active in the NPI registry since March 2024.
NPPES Registry Identity
NPI1891552105
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameANETRICE LUCKETT
Location Address309 NEW INDIAN TRAIL CTAurora, IL 60506-2411
Mailing Address309 New Indian Trail CtAurora, IL 60506-2411 · (630) 966-4000
Phone(630) 966-4000
Sole ProprietorNo
Enumeration DateMarch 4, 2024
NPPES CertifiedMarch 4, 2024
✔ NPI 1891552105 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
309 NEW INDIAN TRAIL CT, Aurora, IL 60506
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Community/Behavioral Health
309 NEW INDIAN TRAIL CT
AURORA, IL 60506
AURORA, IL 60506
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891552105, enumerated as an "individual" on March 04, 2024.
The provider is located at 309 NEW INDIAN TRAIL CT AURORA, IL 60506 and the phone number is (630) 966-4000.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.