Provider Demographics
NPI:1043093610
Name:ALLENDER, LUCINDA (QMHS)
Entity Type:Individual
Prefix:
First Name:LUCINDA
Middle Name:
Last Name:ALLENDER
Suffix:
Gender:F
Credentials:QMHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 TOMMY HENRICH DR NW
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44647-5402
Mailing Address - Country:US
Mailing Address - Phone:330-832-9582
Mailing Address - Fax:
Practice Address - Street 1:107 TOMMY HENRICH DR NW
Practice Address - Street 2:
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44647-5402
Practice Address - Country:US
Practice Address - Phone:330-832-9582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health