Provider Demographics
NPI:1700803715
Name:BORIGHT, LUCINDA (PHD, LPCC, SC)
Entity Type:Individual
Prefix:DR
First Name:LUCINDA
Middle Name:
Last Name:BORIGHT
Suffix:
Gender:F
Credentials:PHD, LPCC, SC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2317 COUNTY ROAD 15
Mailing Address - Street 2:
Mailing Address - City:SOUTH POINT
Mailing Address - State:OH
Mailing Address - Zip Code:45680-7418
Mailing Address - Country:US
Mailing Address - Phone:740-894-3765
Mailing Address - Fax:740-894-3765
Practice Address - Street 1:2317 COUNTY ROAD 15
Practice Address - Street 2:
Practice Address - City:SOUTH POINT
Practice Address - State:OH
Practice Address - Zip Code:45680-7418
Practice Address - Country:US
Practice Address - Phone:740-894-3765
Practice Address - Fax:740-894-3765
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE1840101YP2500X, 101YM0800X
103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH#PO30BWC130305552#OtherOHIO BWC
OHE1840 (LPCC, SC)OtherLICENSE #
OH000000374705OtherANTHEM PIN
OH1700803715OtherNPI