Provider Demographics
NPI:1720294481
Name:CARDWELL, LUCINDA KAY (MA, LMFT)
Entity type:Individual
Prefix:MS
First Name:LUCINDA
Middle Name:KAY
Last Name:CARDWELL
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:L.
Other - Middle Name:KAY
Other - Last Name:MCCROSKEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LMFT
Mailing Address - Street 1:546 TENSAS TRCE
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:GA
Mailing Address - Zip Code:30004-5832
Mailing Address - Country:US
Mailing Address - Phone:678-644-0418
Mailing Address - Fax:
Practice Address - Street 1:546 TENSAS TRCE
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:GA
Practice Address - Zip Code:30004-5832
Practice Address - Country:US
Practice Address - Phone:678-644-0418
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC567106H00000X
TNLMT0000000194106H00000X
GAMFT000903106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist