Provider Demographics
NPI:1982197265
Name:LIGHTFOOT-CANTRELL, NATHANIEL L (LCSW, LCDC)
Entity type:Individual
Prefix:
First Name:NATHANIEL
Middle Name:L
Last Name:LIGHTFOOT-CANTRELL
Suffix:
Gender:M
Credentials:LCSW, LCDC
Other - Prefix:
Other - First Name:NATHANIEL
Other - Middle Name:L
Other - Last Name:LIGHTFOOT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW, LCDC
Mailing Address - Street 1:315 W MCLAIN DR
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75092-2605
Mailing Address - Country:US
Mailing Address - Phone:903-957-4869
Mailing Address - Fax:903-957-3416
Practice Address - Street 1:315 W MCLAIN DR
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092-2605
Practice Address - Country:US
Practice Address - Phone:903-957-4869
Practice Address - Fax:903-957-3416
Is Sole Proprietor?:No
Enumeration Date:2018-06-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31573101YA0400X
TX1079821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)