# ELITE PERSONAL CARE SOLUTIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518820307
- **Authorized official:** DR. TERRANCE K LUCKY II PHD.CC.MHT.CTI (DIRECTOR)
- **Authorized official phone:** (912) 744-9276

## Contact information

- **Practice address:** 1690 WATERTOWER PL STE 100, EAST LANSING, MI 48823-8045
- **Practice address phone:** (912) 744-9276
- **Practice address fax:** (912) 724-7219
- **Mailing address:** 915 GOOGE ST, SAVANNAH, GA 31415-3168
- **Mailing address phone:** (912) 744-9276
- **Mailing address fax:** (912) 742-7219

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 101YP1600X | Pastoral Counselor | — | NULL | — |
| 101YP1600X | Pastoral Counselor | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/08/2025
- **Last updated:** 12/08/2025