Provider Demographics
NPI:1326295890
Name:LUCAS, THOMAS HERBERT (LPC, NCC)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:HERBERT
Last Name:LUCAS
Suffix:
Gender:M
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 W GREEN ST
Mailing Address - Street 2:
Mailing Address - City:STEPHENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76401-3311
Mailing Address - Country:US
Mailing Address - Phone:254-965-7806
Mailing Address - Fax:254-965-4308
Practice Address - Street 1:1715 SANTA FE DR
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76086-6419
Practice Address - Country:US
Practice Address - Phone:817-599-9337
Practice Address - Fax:817-599-7636
Is Sole Proprietor?:No
Enumeration Date:2008-08-26
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLPC62521101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor