Provider Demographics
NPI:1194878173
Name:WHIPPLE, LUCIANA (LPC)
Entity type:Individual
Prefix:
First Name:LUCIANA
Middle Name:
Last Name:WHIPPLE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4205 TWILIGHT TRL
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-3838
Mailing Address - Country:US
Mailing Address - Phone:972-596-1805
Mailing Address - Fax:972-758-2727
Practice Address - Street 1:4205 TWILIGHT TRL
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-3838
Practice Address - Country:US
Practice Address - Phone:972-596-1805
Practice Address - Fax:972-758-2727
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18321101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional