Provider Demographics
NPI:1427298454
Name:LUCAS, BARBARA (MA)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:LUCAS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:BARB
Other - Middle Name:
Other - Last Name:LUCAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA
Mailing Address - Street 1:140 CHERRY ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:HAMILTON
Mailing Address - State:MT
Mailing Address - Zip Code:59840-3517
Mailing Address - Country:US
Mailing Address - Phone:406-363-4463
Mailing Address - Fax:
Practice Address - Street 1:140 CHERRY ST
Practice Address - Street 2:SUITE 103
Practice Address - City:HAMILTON
Practice Address - State:MT
Practice Address - Zip Code:59840-3517
Practice Address - Country:US
Practice Address - Phone:406-363-4463
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-03
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1599101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional