| Doctor Name: | MS. YOLANDA ABED LUCAS |
| NPI Number: | 1164804027 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 638651 |
| Business Practice Address: | 1305 Middle Country Rd Suite 12 Selden, NY - 117842554 |
| Business Phone Number: | 6315690473 |
| Business Fax Number: | |
| Mailing Address: | 915 Village Dr, EAST PATCHOGUE |
| State: | NY |
| Postal Code: | 117724753 |
| Phone Number: | 6315695022 |
| Fax Number: | 6315695022 |
| NPI Enumeration Date: | 06/26/2015 |
| NPI Last Update Date: | 06/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YS0200X |
| License Number: | 638651 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |