Provider Demographics
NPI:1619219342
Name:PHILLIPS, LUCY COTE (MA)
Entity Type:Individual
Prefix:
First Name:LUCY
Middle Name:COTE
Last Name:PHILLIPS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20031 WEST LAKE HOUSTON PKWY.
Mailing Address - Street 2:SUITE 400
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346
Mailing Address - Country:US
Mailing Address - Phone:832-233-3086
Mailing Address - Fax:832-201-8229
Practice Address - Street 1:20031 WEST LAKE HOUSTON PKWY.
Practice Address - Street 2:SUITE 400
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346
Practice Address - Country:US
Practice Address - Phone:832-233-3086
Practice Address - Fax:832-201-8229
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-20
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional