Provider Demographics
NPI:1841768827
Name:LINDSEY LUCIUS LCSW
Entity Type:Organization
Organization Name:LINDSEY LUCIUS LCSW
Other - Org Name:LINDSEY LUCIUS, LCSW, PLLC
Other - Org Type:Other Name
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:LUCIUS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:512-550-4785
Mailing Address - Street 1:6416 GARDEN ROSE PATH
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78754-2155
Mailing Address - Country:US
Mailing Address - Phone:512-550-4785
Mailing Address - Fax:
Practice Address - Street 1:3400 KERBEY LN
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78703-1455
Practice Address - Country:US
Practice Address - Phone:512-550-4785
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-07
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health