National Provider Identifier
Lucky S Light
Lucky S Light is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Rochester, NY and a listed phone number of (585) 442-8422.
Profile Overview
- NPI
- 1922796978
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- April 27, 2023
- Last Updated
- April 27, 2023
Practice Location
- 556 Clinton Ave S
- Rochester, NY 14620-1105
Phone: (585) 442-8422
Mailing Address
- 255 Westmoreland Dr
- Rochester, NY 14620-4425
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
- NPI
- 1922796978
- Entity Type
- Individual
- Last Name
- Light
- First Name
- Lucky
- Middle Name
- S
- Mailing Street Address
- 255 Westmoreland Dr
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-4425
- Mailing Country
- US
- Practice Street Address
- 556 Clinton Ave S
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-1105
- Practice Country
- US
- Practice Phone
- (585) 442-8422
- Practice Fax
- (585) 442-8494
- Enumeration Date
- April 27, 2023
- Last Updated
- April 27, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 27, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)