Provider Demographics
NPI:1548060890
Name:LUCAS, MELINDA JOANNE (MA, LPC)
Entity type:Individual
Prefix:
First Name:MELINDA
Middle Name:JOANNE
Last Name:LUCAS
Suffix:
Gender:X
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4863 CASTLE ARMS
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78218-4002
Mailing Address - Country:US
Mailing Address - Phone:210-413-9389
Mailing Address - Fax:
Practice Address - Street 1:4863 CASTLE ARMS
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78218-4002
Practice Address - Country:US
Practice Address - Phone:210-413-9389
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX76002101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health