Provider Demographics
NPI:1659501641
Name:UNDERWOOD, LUCY FRANKLIN (PHD LPC-S NCC ACS)
Entity Type:Individual
Prefix:DR
First Name:LUCY
Middle Name:FRANKLIN
Last Name:UNDERWOOD
Suffix:
Gender:F
Credentials:PHD LPC-S NCC ACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8109 WHIPPOORWILL DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-5774
Mailing Address - Country:US
Mailing Address - Phone:469-712-9134
Mailing Address - Fax:469-375-2485
Practice Address - Street 1:101 W LOUISIANA ST
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-4413
Practice Address - Country:US
Practice Address - Phone:469-712-9134
Practice Address - Fax:469-375-2485
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-23
Last Update Date:2014-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66844101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional