Healthcare Provider Details

I. General information

NPI: 1952036790
Provider Name (Legal Business Name): LUKAS SEAN SNEAR LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2022
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 E BROADWAY ST
PROSPER TX
75078-2935
US

IV. Provider business mailing address

212 E BROADWAY ST
PROSPER TX
75078-2935
US

V. Phone/Fax

Practice location:
  • Phone: 469-665-9024
  • Fax:
Mailing address:
  • Phone: 469-665-9024
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number89234
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401225074
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number11651-125
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: