CANDACE LUCAS (NPI# 1194378364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194378364 |
| Entity Type | Individual |
| Full Name | CANDACE LUCAS |
| Credential | BS |
| Practice Address |
477 Village Square Ct Stone Mountain GA 30083-4274 |
| Practice Telephone | 2515541092 |
| Practice Fax Number | 4044653650 |
| Mailing Telephone | 2515541092 |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2019-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 225800000X | Recreation Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548564925 | Candace Lucas | Massage Therapist | 47220 W 10 Mile Rd, Novi, MI 48374-2932 | 2010-12-29 |
| Street Address |
477 VILLAGE SQUARE CT |
| City | STONE MOUNTAIN |
| State | GA |
| Zip Code | 30083-4274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821641382 | Southeast Arts Association | Counselor | 477 Village Square Ct, Stone Mountain, GA 30083-4274 | 2019-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558830919 | Patriot Healthcare of Georgia, LLC | Family Medicine | 833 Hairston Road, Stone Mountain, GA 30083 | 2018-11-15 |
| 1710403431 | Trans Med Ems,llc | Ambulance | 4683 Redan Rd, Stone Mountain, GA 30083 | 2017-08-15 |
| 1447770482 | Dispatched Angels Home Care | In Home Supportive Care | 619 El Prado Court, Stone Mountain, GA 30083 | 2017-06-21 |
| 1396191086 | Suzanne Carter | Chore Provider | 1036 Allgood Rd, Stone Mountain, GA 30083 | 2016-05-11 |
| 1437520087 | Meaza Dada | Pharmacist | 1043 Thornwoode Lane, Stone Mountain, GA 30083 | 2015-10-08 |
| 1427436500 | Raeanne Elizabeth Gialanella | Occupational Therapist | 5839 Memorial Drive, Stone Mountain, GA 30083 | 2015-05-11 |
| 1265829824 | Latore Williams | Licensed Practical Nurse | 5300 Ridge Forest Drive, Stone Mountain, GA 30083 | 2015-04-22 |
| 1144625922 | Granville Theodore Freeman IIi | Counselor | 5000 Brittany Drive, Stone Mountain, GA 30083 | 2014-10-23 |
| 1588974208 | Terri R Collins | Counselor | 1020 Strap Hinge Trail, Stone Mountain, GA 30083 | 2010-10-15 |
| 1104064815 | Vistas Medical Center,pc | Clinic/Center | 5329 Memorial Dr Ste A, Stone Mountain, GEORGIA 30083 | 2009-02-03 |
| Find all providers in zip 30083 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245882943 | Lynell Williams | Counselor | 505 Lilburn-stone Mountain Road, Suite 235, Stone Mountain, GA 30087 | 2019-07-12 |
| 1891264586 | Sabrina Tolson | Counselor | 2300 W Park Pl, Stone Mountain, GA 30087-6713 | 2018-11-25 |
| 1558837187 | Ashley T Staten | Counselor | 4893 Memorial Dr, Stone Mountain, GA 30083-4175 | 2018-10-22 |
| 1689171126 | Brandi Reed | Counselor | 4611 Greer Cir Ste H, Stone Mountain, GA 30083-1024 | 2018-04-11 |
| 1245771013 | Erica Dionne Woods | Counselor | 5447 Oquinn Ct, Stone Mountain, GA 30088-1305 | 2017-03-13 |
| 1659752491 | Big Mama House | Counselor | 707 Pennybrook Ln, Stone Mountain, GA 30087-5918 | 2015-06-17 |
| 1538784103 | Lori Fran Abramson | Counselor | 5582 Memorial Dr, Stone Mountain, GA 30083-3215 | 2020-06-10 |
| 1679135321 | D'alma Bradley | Counselor | 1505 Lilburn Stone Mountain Rd Ste 235, Stone Mountain, GA 30087-1857 | 2019-07-02 |
| 1205306412 | Annette Winkfield | Counselor | 2300 W Park Place Blvd, Stone Mountain, GA 30087-6713 | 2018-11-30 |
| 1922578236 | Crystal Latory Norwood | Counselor | 2300 W Park Place Blvd Ste 135, Stone Mountain, GA 30087-3561 | 2018-11-29 |
| Find all providers in STONE MOUNTAIN | ||||
| City | STONE MOUNTAIN |
| Zip Code | 30083 |
Please comment or provide details below to improve the information on CANDACE LUCAS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.