Organization
LUKE BROCCO, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUKE BYRON BROCCO LCSW (OWNER/THERAPIST)
(850) 203-0214
Entity
Organization
Contact information
Practice address
1114 THOMASVILLE RD STE E-3, TALLAHASSEE, FL 32303-6288
(850) 203-0214
(855) 595-2914
Mailing address
1114 THOMASVILLE RD STE E-3, TALLAHASSEE, FL 32303-6288
(850) 203-0214
(855) 595-2914
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/21/2022
Last updated
07/19/2024
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