Provider Demographics
NPI:1790835205
Name:SENNETT, LUCY GARCIA (MA, LMHC)
Entity Type:Individual
Prefix:MRS
First Name:LUCY
Middle Name:GARCIA
Last Name:SENNETT
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:449 BAY MAGNOLIA LN
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32459-5473
Mailing Address - Country:US
Mailing Address - Phone:850-221-5158
Mailing Address - Fax:850-267-1716
Practice Address - Street 1:449 BAY MAGNOLIA LN
Practice Address - Street 2:
Practice Address - City:SANTA ROSA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32459-5473
Practice Address - Country:US
Practice Address - Phone:850-221-5158
Practice Address - Fax:850-267-1716
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH7491101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMH7491OtherLICENSE #