Provider Demographics
NPI:1801562871
Name:KAUFMAN, LUCILA PATRICIA (LMHC)
Entity type:Individual
Prefix:
First Name:LUCILA
Middle Name:PATRICIA
Last Name:KAUFMAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:196 LINCOLN AVE E APT 2
Mailing Address - Street 2:
Mailing Address - City:WEST HARRISON
Mailing Address - State:NY
Mailing Address - Zip Code:10604-2058
Mailing Address - Country:US
Mailing Address - Phone:917-696-2679
Mailing Address - Fax:
Practice Address - Street 1:196 LINCOLN AVE E APT 2
Practice Address - Street 2:
Practice Address - City:WEST HARRISON
Practice Address - State:NY
Practice Address - Zip Code:10604-2058
Practice Address - Country:US
Practice Address - Phone:917-696-2679
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-19
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011307-01101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health