MS. WANDA C LUCAS (NPI# 1073026811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073026811 |
| Entity Type | Individual |
| Full Name | MS. WANDA C LUCAS |
| Credential | LPCS |
| Practice Address |
1293 Professional Dr Ste D Myrtle Beach SC 29577-5754 |
| Mailing Address |
1293 Professional Dr Suite D Myrtle Beach SC 29577 |
| Practice Telephone | 8439021504 |
| Practice Fax Number | 8439399831 |
| Mailing Telephone | 8439021504 |
| Mailing Fax Number | 8439399831 |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2017-11-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
3602 | SC | Behavioral Health & Social Service Providers |
| Street Address |
1293 PROFESSIONAL DR STE D |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29577-5754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124536446 | Well Care Home Health of The Lowcountry | Home Health | 1039 44th Ave N Ste 101, Myrtle Beach, SC 29577 | 2018-01-22 |
| 1518470913 | Guillot Enterprises, LLC | Hearing Instrument Specialist | 1294 Professional Dr., Suite C, Myrtle, SC 29577 | 2017-11-08 |
| 1598288227 | Ryan Shepherd | Pharmacist | 1705 South Kings Highway, Myrtle Beach, SC 29577 | 2017-07-25 |
| 1184176554 | Shannon Long | Counselor | 1293 Professional Drive, Suite D Office 222, Myrtle Beach, SC 29577 | 2016-11-01 |
| 1265898191 | Coastal Carolina Infectious Disease, LLC | Internal Medicine | 1110 London St Ste 102, Myrtle Beach, SC 29577 | 2016-01-07 |
| 1548639933 | Susan Lang | Social Worker | 1273 Professional Dr., Suite A #104, Myrtle Beach, SC 29577 | 2015-09-16 |
| 1043600893 | Kenneth Edward Smith | Counselor | 1125 48th Avenue North, Myrtle Beach, SC 29577 | 2015-02-02 |
| 1902203615 | Sc Nursing Services LLC | Home Infusion | 1297 Professional Drive, Suite 201 C3, Myrtle Beach, SC 29577 | 2014-11-24 |
| 1881007946 | Intercoastal Endo, PC | Dentist | 4382 Oleander Dr, Myrtle Beach, SC 29577 | 2014-06-06 |
| 1891115739 | Julie Hite | Pharmacist | 540 Seaboard Street, Myrtle Beach, SC 29577 | 2014-04-18 |
| Find all providers in zip 29577 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956090 | Susan M. Bulsza Lpc, LLC | Counselor | Grand Strand Business Center, 1293 Professional Drive, Suite 109, Myrtle Beach, SC 29577-5754 | 2020-06-08 |
| 1841827698 | Jessica Maiorana Milosky | Counselor | 679 Inland Dr, Myrtle Beach, SC 29588-6027 | 2020-03-23 |
| 1306479506 | Beyond Therapy | Counselor | 4209 Mayfair St Ste A, Myrtle Beach, SC 29577-5899 | 2020-02-16 |
| 1538630405 | Brittany Jeanne Tilberry | Counselor | 4325 Dick Pond Rd, Myrtle Beach, SC 29588-6810 | 2018-12-17 |
| 1497237101 | Ginny Page Counseling, LLC | Counselor | 1203 48th Avenue North, Suite 202, Myrtle Beach, SC 29577-5425 | 2018-08-30 |
| 1275025900 | Angela Marie Mckeone | Counselor | 9645 Scipio Ln, Myrtle Beach, SC 29588-7568 | 2018-05-30 |
| 1922520634 | Kerry J Harrah | Counselor | 2461 Hunters Trl, Myrtle Beach, SC 29588-8412 | 2017-07-13 |
| 1669838348 | Meredith Pierson Goodman | Counselor | 1033 Shine Ave, Suite D, Myrtle Beach, SC 29577-1501 | 2016-01-11 |
| 1861873820 | Phillip Harper | Counselor | 3015 Old Bryan Dr Apt 8-4, Myrtle Beach, SC 29577-5859 | 2015-06-16 |
| 1043600893 | Kenneth Edward Smith | Counselor | 1125 48th Avenue North, Myrtle Beach, SC 29577 | 2015-02-02 |
| Find all providers in MYRTLE BEACH | ||||
| City | MYRTLE BEACH |
| Zip Code | 29577 |
Please comment or provide details below to improve the information on MS. WANDA C 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.