Provider Demographics
NPI:1427126119
Name:LUSTER, GAYLE (MA LPC)
Entity type:Individual
Prefix:MS
First Name:GAYLE
Middle Name:
Last Name:LUSTER
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:MS
Other - First Name:BILLIE
Other - Middle Name:GAYLE
Other - Last Name:LAMBERT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA LPE
Mailing Address - Street 1:5092 CATHY DR
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-4154
Mailing Address - Country:US
Mailing Address - Phone:214-724-7102
Mailing Address - Fax:
Practice Address - Street 1:5092 CATHY DR
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-4154
Practice Address - Country:US
Practice Address - Phone:214-724-7102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10892101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional