Provider Demographics
NPI:1467256941
Name:RICHMOND, LUKE AUSTIN (LPC)
Entity type:Individual
Prefix:
First Name:LUKE
Middle Name:AUSTIN
Last Name:RICHMOND
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:96 W SANDUSKY ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT GILEAD
Mailing Address - State:OH
Mailing Address - Zip Code:43338-9713
Mailing Address - Country:US
Mailing Address - Phone:937-654-2750
Mailing Address - Fax:
Practice Address - Street 1:5626 FRANTZ RD
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-1559
Practice Address - Country:US
Practice Address - Phone:614-547-2535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.2406558101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional