Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lucas Lodge, LLC

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1205851110

Lucas Lodge, LLC is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Portsmouth, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1214 County St
Portsmouth, VA 23704-3240
Phone: (757) 397-8200
Fax: (757) 397-8224
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X · Licence 341-01-001 (VA)

Record details

NPI number1205851110
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Burke — Assistant Executive Director · (757) 397-8200
NPI enumeratedJuly 12, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1214 County St, Portsmouth, VA 23704-3240

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