Provider Demographics
NPI:1326651290
Name:LUQUIS, OLGA M (LPC)
Entity Type:Individual
Prefix:MS
First Name:OLGA
Middle Name:M
Last Name:LUQUIS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11550 W IH 10 STE 235
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-1066
Mailing Address - Country:US
Mailing Address - Phone:210-920-1247
Mailing Address - Fax:
Practice Address - Street 1:11550 W IH 10 STE 235
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-1066
Practice Address - Country:US
Practice Address - Phone:561-639-8764
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-28
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80618101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health