Lisa Anne Lucius, MA
Individual provider Active NPI Marriage & Family Therapist · Kenneth City, FL
NPI 1669502829 · NPPES record last updated Dec 17, 2024
Key facts
- NPI
- 1669502829
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 46743 (CA)
- Practice address
- 4144 56TH St N
Kenneth City, FL 33709-5416 - Phone
- (323) 680-8497
- NPI assigned
- Mar 6, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fusion Care Group, a Psychological Professional Corporation | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 46743 | CA | Yes |
Addresses
Primary practice location
4144 56TH St N
Kenneth City, FL 33709-5416
Mailing address
4144 56TH St N Apt 811
Kenneth City, FL 33709-5447
Phone (323) 680-8497
Other providers in Kenneth City, FL
- Mary Lee
- Let'S Talk Speech and Language Therapy, Inc.
- Lexington Healthcare and Rehabilitation Center LLC
- Lexington Terrace Alf, LLC
- LK Therapeutic Services LLC
- Jonathan Byron May
- McAre Health LLC
- Gabriel McIntyre
- Connor A Merritt
- Alison Michele Muley
All providers in Kenneth City, FL · Marriage & Family Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.