# DR. KANDISE LUCAS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1821857467
- **Gender:** F
- **Credential:** B.A, MSED, PHD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 146D00000X | Personal Emergency Response Attendant | — | NULL | — |
| 171400000X | Health & Wellness Coach | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251K00000X | Public Health or Welfare Agency | — | NULL | — |
| 372500000X | Chore Provider | — | NULL | — |
| 373H00000X | Day Training/Habilitation Specialist | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 03/18/2024
- **Last updated:** 03/18/2024