Provider Demographics
NPI:1568604635
Name:LUCAS, CHERYL LYNN (LPC, NCC, CAC)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:LYNN
Last Name:LUCAS
Suffix:
Gender:F
Credentials:LPC, NCC, CAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 CEDAR RIDGE DR
Mailing Address - Street 2:SUITE 208
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15205-9691
Mailing Address - Country:US
Mailing Address - Phone:412-921-7000
Mailing Address - Fax:412-921-7260
Practice Address - Street 1:200 CEDAR RIDGE DR
Practice Address - Street 2:SUITE 208
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15205-9691
Practice Address - Country:US
Practice Address - Phone:412-921-7000
Practice Address - Fax:412-921-7260
Is Sole Proprietor?:No
Enumeration Date:2009-04-03
Last Update Date:2009-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC002235101Y00000X
PA3042101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)