Provider Demographics
NPI:1770877532
Name:ZEIDAN-LUKACS, RATHA MAY (PHD, LMHC, LPC)
Entity type:Individual
Prefix:DR
First Name:RATHA
Middle Name:MAY
Last Name:ZEIDAN-LUKACS
Suffix:
Gender:F
Credentials:PHD, LMHC, LPC
Other - Prefix:
Other - First Name:RATHA
Other - Middle Name:MAY
Other - Last Name:ZEIDAN-LUKACS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD(ABD), LCPC
Mailing Address - Street 1:1971 UNIVERSITY BLVD
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24515-4719
Mailing Address - Country:US
Mailing Address - Phone:321-543-1216
Mailing Address - Fax:
Practice Address - Street 1:1971 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24515-3255
Practice Address - Country:US
Practice Address - Phone:321-543-1216
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-08
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC3771101YM0800X
FLMH1005101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health