Provider Demographics
NPI:1215455332
Name:LUCHIES, KATHRYN LEE
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:LEE
Last Name:LUCHIES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12819 SE 38TH ST # 422
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006-1326
Mailing Address - Country:US
Mailing Address - Phone:206-519-6570
Mailing Address - Fax:
Practice Address - Street 1:1530 134TH AVE SE APT E208
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-8029
Practice Address - Country:US
Practice Address - Phone:816-560-0188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-08
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60786159101YM0800X
WALH60972281101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health