Provider Demographics
NPI:1558257568
Name:DOUGHERTY, LUKE THOMAS (LMFT)
Entity type:Individual
Prefix:MR
First Name:LUKE
Middle Name:THOMAS
Last Name:DOUGHERTY
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8921 VAN DEMAN DR
Mailing Address - Street 2:
Mailing Address - City:BENBROOK
Mailing Address - State:TX
Mailing Address - Zip Code:76116-1315
Mailing Address - Country:US
Mailing Address - Phone:562-252-5558
Mailing Address - Fax:
Practice Address - Street 1:8921 VAN DEMAN DR
Practice Address - Street 2:
Practice Address - City:BENBROOK
Practice Address - State:TX
Practice Address - Zip Code:76116-1315
Practice Address - Country:US
Practice Address - Phone:562-252-5558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX203651106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist