Provider Demographics
NPI:1922313980
Name:LUCAS, CATHERINE P (LPC, LMFT)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:P
Last Name:LUCAS
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47037 RIVERGATE DR
Mailing Address - Street 2:
Mailing Address - City:ROBERT
Mailing Address - State:LA
Mailing Address - Zip Code:70455-1832
Mailing Address - Country:US
Mailing Address - Phone:985-687-3676
Mailing Address - Fax:985-249-2759
Practice Address - Street 1:109 S CATE ST
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-4299
Practice Address - Country:US
Practice Address - Phone:985-687-3676
Practice Address - Fax:985-249-2759
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-15
Last Update Date:2010-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2354101YP2500X
LA92106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist