Provider Demographics
NPI:1598588121
Name:ALLAN, LUCY CATHERINE (LGPC)
Entity type:Individual
Prefix:MS
First Name:LUCY
Middle Name:CATHERINE
Last Name:ALLAN
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 E WELLS ST APT 151
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21230-4949
Mailing Address - Country:US
Mailing Address - Phone:317-504-4718
Mailing Address - Fax:
Practice Address - Street 1:828 DULANEY VALLEY RD STE 11
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-2822
Practice Address - Country:US
Practice Address - Phone:410-870-0490
Practice Address - Fax:410-701-3777
Is Sole Proprietor?:No
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP15148101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor