Provider Demographics
NPI:1194294272
Name:TAPIA, LURENE M (LCSW)
Entity type:Individual
Prefix:MS
First Name:LURENE
Middle Name:M
Last Name:TAPIA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1142 KATHY LN
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-4373
Mailing Address - Country:US
Mailing Address - Phone:254-340-0915
Mailing Address - Fax:254-634-3280
Practice Address - Street 1:1142 KATHY LN
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-4373
Practice Address - Country:US
Practice Address - Phone:254-340-0915
Practice Address - Fax:254-634-3280
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-18
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX608221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical