Provider Demographics
NPI:1275125684
Name:DEMONTE, LUCAS (LMHC, NCC)
Entity type:Individual
Prefix:
First Name:LUCAS
Middle Name:
Last Name:DEMONTE
Suffix:
Gender:M
Credentials:LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:907 CALVIN TER
Mailing Address - Street 2:
Mailing Address - City:NORTH AUGUSTA
Mailing Address - State:SC
Mailing Address - Zip Code:29841-2379
Mailing Address - Country:US
Mailing Address - Phone:352-727-2516
Mailing Address - Fax:
Practice Address - Street 1:907 CALVIN TER
Practice Address - Street 2:
Practice Address - City:NORTH AUGUSTA
Practice Address - State:SC
Practice Address - Zip Code:29841-2379
Practice Address - Country:US
Practice Address - Phone:352-727-2516
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-07
Last Update Date:2025-06-23
Deactivation Date:2025-05-16
Deactivation Code:
Reactivation Date:2025-06-23
Provider Licenses
StateLicense IDTaxonomies
FLMH25741101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty