OrganizationActive
The Luck Group Outdoors
NPI 1407710692 · Health & Wellness Coach · South Prince George, VA
Provider details
- NPI number
- 1407710692
- Entity type
- Organization
- Primary specialty
- Health & Wellness CoachOther Service Providers
- Organization subpart
- No
- Authorized official
- Altheia Tyler, Program Coordinator/Owner(757) 848-7969
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15265 Providence Rd
South Prince George, VA 23805-8140
Phone: (757) 848-7969
Street-level locationGet directions
Mailing address
Po Box 1505
Petersburg, VA 23805-0505
Other names (DBA / former)
- Doing business as
- The Luck Group
Registry dates
- Enumerated
- 2025-12-11
- Last updated
- 2025-12-11
- Certified
- 2025-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.