| Doctor Name: | MS. LUCINDA DAWN MADDOX |
| NPI Number: | 1154497022 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 2973 |
| Business Practice Address: | 7908 Nw 23rd St Bethany, OK - 730084950 |
| Business Phone Number: | 4054401006 |
| Business Fax Number: | 4054401007 |
| Mailing Address: | 7908 Nw 23rd St, BETHANY |
| State: | OK |
| Postal Code: | 730084950 |
| Phone Number: | 4054401006 |
| Fax Number: | 4054401007 |
| NPI Enumeration Date: | 11/24/2006 |
| NPI Last Update Date: | 08/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2973 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |