Ebony Lea Lucas
Case Manager/Care Coordinator in Chardon, OH. Individual provider (NPI-1).
NPI number1982205563
StatusActive
Last updated in NPPESFeb 3, 2026
Details
- NPI
- 1982205563
- Entity type
- Individual (NPI-1)
- Name
- Ebony Lea Lucas
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 2, 2020
- Certification date
- Feb 3, 2026
- Last updated
- Feb 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 176585 | OH |
Other names
- Ebony Lea Culton (Former Name)
Practice location
12041 Ravenna RdChardon, OH 44024-7008
Phone 440-286-7254 · Fax 440-286-1037
Mailing address
6520 Grape Arbor DrMadison, OH 44057-2500
Phone 440-415-2347
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All 244 Case Manager/Care Coordinator providers in Chardon · All 1,278 providers in Chardon
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