The Luck Group Outdoors

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Legal business name

THE LUCK GROUP OUTDOORS

Doing business as

The Luck Group

Practice address

15265 Providence Rd
South Prince George, VA 23805-8140

Phone

(757) 848-7969

NPI assigned

Dec 11, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Altheia Tyler

Title

Program Coordinator/Owner

Phone

(757) 848-7969

Specialties & licenses 1

Addresses

Other names 1

• The Luck Group Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1765411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1407710692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1505",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238050505",
            "telephone_number": "757-848-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15265 PROVIDENCE RD",
            "city": "SOUTH PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238058140",
            "telephone_number": "757-848-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LUCK GROUP OUTDOORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-11",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "ALTHEIA",
        "authorized_official_title_or_position": "PROGRAM COORDINATOR/OWNER",
        "authorized_official_telephone_number": "757-848-7969"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Luck Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Health & Wellness Coach in South Prince George, VA
• Providers in South Prince George, VA by specialty
• Health & Wellness Coach in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.