Lucky Behavior Services Corp

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LUCKY BEHAVIOR SERVICES CORP

Practice address

3048 Del Prado Blvd.
Unit 125
Cape Coral, FL 33904-7283

Phone

(239) 298-6868

NPI assigned

Apr 6, 2021

Organization subpart

No

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

Authorized official

Name

Karelia Maria Fernandez

Title

President

Phone

(239) 298-6868

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1730768797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 DEL PRADO BLVD S STE 209-2",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047283",
            "telephone_number": "239-298-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3048 DEL PRADO BLVD.",
            "address_2": "UNIT 125",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047283",
            "telephone_number": "239-298-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCKY BEHAVIOR SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-05-12",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "KARELIA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-298-6868"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lozano
• LPR Professional Health Clinic Inc
• Robert Michael Luber, D.O.
• Claire Lucero, MD
• Ana Luchin, M.D.
• Jon Robert Luedtke, RPH
• Johanna Lugo Morejon
• Christine Marie Lugo
• Edgardo E Lugo, CRNA, MS
• Yessy Lugo

• Mental Health Clinic/Center (Including Community Mental Health Center) in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.