Provider Demographics
NPI:1528495322
Name:PERARNAU DE LOUKANIS, GRACIELA (LMFT-S, LPC-S)
Entity type:Individual
Prefix:
First Name:GRACIELA
Middle Name:
Last Name:PERARNAU DE LOUKANIS
Suffix:
Gender:F
Credentials:LMFT-S, LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 66308
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77266-6308
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:400 KEENE ST
Practice Address - Street 2:
Practice Address - City:GALENA PARK
Practice Address - State:TX
Practice Address - Zip Code:77547-3200
Practice Address - Country:US
Practice Address - Phone:713-351-7360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-11
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71775101YP2500X
TX202077106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
741801OtherLEGACY COMMUNITY HEALTH SERVICES INC SITE SPECIFIC MEDICARE #
TX0800462703OtherLEGACY COMMUNITY HEALTH SERVICES, INC. MEDICAID #