Provider Demographics
NPI:1760860431
Name:LUCY F. UNDERWOOD PHD LPC-S PLLC
Entity Type:Organization
Organization Name:LUCY F. UNDERWOOD PHD LPC-S PLLC
Other - Org Name:UNDERWOOD COUNSELING & CONSULTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LUCY
Authorized Official - Middle Name:FRANKLIN
Authorized Official - Last Name:UNDERWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD LPC-S
Authorized Official - Phone:469-712-9134
Mailing Address - Street 1:6675 MEDITERRANEAN DR
Mailing Address - Street 2:SUITE 504
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-5573
Mailing Address - Country:US
Mailing Address - Phone:469-712-9134
Mailing Address - Fax:469-375-2485
Practice Address - Street 1:6675 MEDITERRANEAN DR
Practice Address - Street 2:SUITE 504
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-5573
Practice Address - Country:US
Practice Address - Phone:469-712-9134
Practice Address - Fax:469-375-2485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-13
Last Update Date:2015-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66844101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty