Provider Demographics
NPI:1275717498
Name:LUCAS, BRONWYN E (LPC)
Entity Type:Individual
Prefix:MS
First Name:BRONWYN
Middle Name:E
Last Name:LUCAS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:119 HIDALGO LN # NA
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76014-3129
Mailing Address - Country:US
Mailing Address - Phone:682-272-3949
Mailing Address - Fax:817-900-8549
Practice Address - Street 1:700 HIGHLANDER BLVD STE 500
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-4326
Practice Address - Country:US
Practice Address - Phone:682-272-3949
Practice Address - Fax:817-900-8549
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-24
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX19326101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional