Provider Demographics
NPI:1114006640
Name:SONEK, LUCYNA MARIA (LPC, LCAS)
Entity Type:Individual
Prefix:MS
First Name:LUCYNA
Middle Name:MARIA
Last Name:SONEK
Suffix:
Gender:F
Credentials:LPC, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 GREENWOOD LN
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-9411
Mailing Address - Country:US
Mailing Address - Phone:828-773-7844
Mailing Address - Fax:
Practice Address - Street 1:240 HIGHWAY 105 EXT
Practice Address - Street 2:SUITE 201 A
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-4297
Practice Address - Country:US
Practice Address - Phone:828-773-7844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1080101YA0400X
NC4786101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6103522Medicaid