Provider Demographics
NPI:1558409508
Name:HORN, LUCINDA (LMHC)
Entity Type:Individual
Prefix:
First Name:LUCINDA
Middle Name:
Last Name:HORN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:
Other - Last Name:HORN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC
Mailing Address - Street 1:1611 BERRY RD
Mailing Address - Street 2:
Mailing Address - City:LA FAYETTE
Mailing Address - State:NY
Mailing Address - Zip Code:13084-9571
Mailing Address - Country:US
Mailing Address - Phone:315-683-9443
Mailing Address - Fax:
Practice Address - Street 1:17 MAIN ST
Practice Address - Street 2:414
Practice Address - City:CORTLAND
Practice Address - State:NY
Practice Address - Zip Code:13045-6606
Practice Address - Country:US
Practice Address - Phone:315-729-1753
Practice Address - Fax:607-849-4730
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001564101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health