Provider Demographics
NPI:1871364422
Name:LUGG-BROWN, DIANA P (LMFT-A)
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:P
Last Name:LUGG-BROWN
Suffix:
Gender:F
Credentials:LMFT-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2124 BLUEBELL
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-6350
Mailing Address - Country:US
Mailing Address - Phone:786-506-0892
Mailing Address - Fax:
Practice Address - Street 1:2124 BLUEBELL
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-6350
Practice Address - Country:US
Practice Address - Phone:786-506-0892
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-12
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX204732106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist