Provider Demographics
NPI:1619384625
Name:SARGENT, LUKE (MA, LPCC)
Entity type:Individual
Prefix:MR
First Name:LUKE
Middle Name:
Last Name:SARGENT
Suffix:
Gender:M
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 STARRET ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-3993
Mailing Address - Country:US
Mailing Address - Phone:800-323-7174
Mailing Address - Fax:740-477-8877
Practice Address - Street 1:106 STARRET ST
Practice Address - Street 2:SUITE 204
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-3993
Practice Address - Country:US
Practice Address - Phone:800-323-7174
Practice Address - Fax:740-477-8877
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-22
Last Update Date:2019-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.1200544101YP2500X
OHE.1800656101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional