Provider Demographics
NPI:1659821833
Name:MAGGIE LUCIAN, LMFT, LLC
Entity Type:Organization
Organization Name:MAGGIE LUCIAN, LMFT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER/ OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAGGIE
Authorized Official - Middle Name:REBECCA
Authorized Official - Last Name:LUCIAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:203-241-8333
Mailing Address - Street 1:250 MAIN ST S
Mailing Address - Street 2:UNIT P-2
Mailing Address - City:SOUTHBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06488-2263
Mailing Address - Country:US
Mailing Address - Phone:203-241-8333
Mailing Address - Fax:203-262-6226
Practice Address - Street 1:250 MAIN ST S
Practice Address - Street 2:UNIT P-2
Practice Address - City:SOUTHBURY
Practice Address - State:CT
Practice Address - Zip Code:06488-2263
Practice Address - Country:US
Practice Address - Phone:203-241-8333
Practice Address - Fax:203-262-6226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-11
Last Update Date:2016-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health