Provider Demographics
NPI:1508485285
Name:LUCAS, CINDY KATHLEEN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:KATHLEEN
Last Name:LUCAS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1312 QUAILFIELD CIR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-6504
Mailing Address - Country:US
Mailing Address - Phone:512-516-3387
Mailing Address - Fax:
Practice Address - Street 1:1464 E WHITESTONE BLVD STE 1301
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-9072
Practice Address - Country:US
Practice Address - Phone:512-516-3387
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-13
Last Update Date:2020-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX78323101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health