Provider Demographics
NPI:1407518871
Name:LUCHINI, LAUREN SCOTT (MS, LMFT)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:SCOTT
Last Name:LUCHINI
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2005 N IRONWOOD PKWY STE 105
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83814-2647
Mailing Address - Country:US
Mailing Address - Phone:208-659-6791
Mailing Address - Fax:
Practice Address - Street 1:2005 N IRONWOOD PKWY STE 105
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814-2647
Practice Address - Country:US
Practice Address - Phone:208-659-6791
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-12
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLAMFT-8425106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IDLAMFT-8425OtherMARRIAGE AND FAMILY ASSOCIATE LICENSE