Healthcare Provider Details

I. General information

NPI: 1356181648
Provider Name (Legal Business Name): LUSANA DARNELL MED, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2024
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4381 W GREEN OAKS BLVD STE 101
ARLINGTON TX
76016-4460
US

IV. Provider business mailing address

1629 US HIGHWAY 190 E
LIVINGSTON TX
77351-4487
US

V. Phone/Fax

Practice location:
  • Phone: 936-259-2119
  • Fax: 936-244-4661
Mailing address:
  • Phone: 936-259-2119
  • Fax: 936-244-4661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number85535
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number85535
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: