| Doctor Name: | KYMBERLEY LUCAS |
| NPI Number: | 1295165165 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | MH7357 |
| Business Practice Address: | 5 Harvard Cir Suite 109 West Palm Bch, FL - 334091979 |
| Business Phone Number: | 5612227730 |
| Business Fax Number: | |
| Mailing Address: | 5 Harvard Cir, Suite 109 WEST PALM BCH |
| State: | FL |
| Postal Code: | 334091979 |
| Phone Number: | 5612227730 |
| Fax Number: | |
| NPI Enumeration Date: | 11/13/2013 |
| NPI Last Update Date: | 11/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH7357 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |