Provider Demographics
NPI:1003567942
Name:LUCIENNE COHEN THERAPY, PLLC
Entity Type:Organization
Organization Name:LUCIENNE COHEN THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LUCIENNE
Authorized Official - Middle Name:HILTON
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:617-823-3007
Mailing Address - Street 1:4007 BOWSER AVE APT E
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-3788
Mailing Address - Country:US
Mailing Address - Phone:617-823-3007
Mailing Address - Fax:
Practice Address - Street 1:4007 BOWSER AVE APT E
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-3788
Practice Address - Country:US
Practice Address - Phone:617-823-3007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-12
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty