Individual provider · Type 1 NPI

Kelly J. Luckey, LCPC

Mental Health Counselor · Bloomington, IL

NPI number 1063280048 Active

Practice location

1003 Martin Luther King Dr
Bloomington, IL 61701-1429

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X180.002681 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1063280048

Kelly J. Luckey, LCPC's National Provider Identifier is 1063280048, issued on Dec 19, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bloomington, IL. The record was last updated on Sep 24, 2026.