MEDICARE: GRACIELA PERARNAU DE LOUKANIS LMFT-S, LPC-S

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
1	101YP2500X	Professional Counselor	71775	TX
2	106H00000X	Marriage & Family Therapist	202077	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	741801	OTHER		LEGACY COMMUNITY HEALTH SERVICES INC SITE SPECIFIC MEDICARE #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528495322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRACIELA PERARNAU DE LOUKANIS LMFT-S, LPC-S

Provider Business Mailing Address
First Line	:	PO BOX 66308
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77266-6308
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 KEENE ST
Second Line	:
City	:	GALENA PARK
State	:	TX
Zip	:	77547-3200
Country	:	US
Telephone Number	:	713-351-7360
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2013
Last Update Date	:	01/17/2024

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