Ebony Lea Lucas

NPI #1982205563 in Chardon, Ohio

Provider Information

NPI Number: 1982205563
Entity Type: Individual
Name: Ebony Lea Lucas
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Nov 2, 2020
Last Updated: Feb 3, 2026

Practice Location

Address: 12041 RAVENNA RD
City: Chardon
State: Ohio
ZIP Code: 44024-7008
Phone: (440) 286-7254

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X

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