Provider Demographics
NPI:1326720699
Name:LUCAS, OLIVIA (LPC, PLPC, NCC)
Entity Type:Individual
Prefix:
First Name:OLIVIA
Middle Name:
Last Name:LUCAS
Suffix:
Gender:F
Credentials:LPC, PLPC, NCC
Other - Prefix:
Other - First Name:OLIVIA
Other - Middle Name:
Other - Last Name:STEFFEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1600 GENESSEE ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64102-1039
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1600 GENESSEE ST STE 908
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64102-1051
Practice Address - Country:US
Practice Address - Phone:816-878-8891
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-04
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04100101YM0800X
MO2022028930101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health