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NPI Code Detail

MEDICARE: LUSANA DARNELL MED, LPC

MEDICARE: LUSANA DARNELL MED, LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor85535TX
2101YP2500XProfessional Counselor85535TX

General Provider Information

NPI Number : 1356181648
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUSANA DARNELL MED, LPC
Provider Business Mailing Address
First Line : 3748 US HIGHWAY 59 N STE A
Second Line :
City : LIVINGSTON
State : TX
Zip : 77351-8981
Country : US
Telephone Number : 936-259-2119
Fax Number : 936-286-3106
Provider Business Practice Location Address
First Line : 4500 MERCANTILE PLAZA DR STE 300
Second Line :
City : FORT WORTH
State : TX
Zip : 76137-4206
Country : US
Telephone Number : 936-259-2119
Fax Number : 936-286-3106
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2024
Last Update Date : 01/15/2026

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Directions to “ LUSANA DARNELL MED, LPC” Practice Location

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