Provider Demographics
NPI:1073127692
Name:GEESLIN, LUCINDA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LUCINDA
Middle Name:
Last Name:GEESLIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:243 HILLVIEW DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-2204
Mailing Address - Country:US
Mailing Address - Phone:210-364-8548
Mailing Address - Fax:
Practice Address - Street 1:OAK HILLS CHURCH CARE AND GROWTH CENTER
Practice Address - Street 2:6929 CAMP BULLIS ROAD
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78256
Practice Address - Country:US
Practice Address - Phone:210-364-8548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-01
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX250531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical