Provider Demographics
NPI:1083639959
Name:LUCAS, SYDNEY GOBER (LPC-S)
Entity Type:Individual
Prefix:MRS
First Name:SYDNEY
Middle Name:GOBER
Last Name:LUCAS
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6956 BERKSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:EXPORT
Mailing Address - State:PA
Mailing Address - Zip Code:15632-8946
Mailing Address - Country:US
Mailing Address - Phone:832-405-7711
Mailing Address - Fax:
Practice Address - Street 1:3122 CARSON AVE
Practice Address - Street 2:
Practice Address - City:MURRYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15668-1804
Practice Address - Country:US
Practice Address - Phone:412-550-0222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18621101YP2500X
PAPC10567101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional