Provider Demographics
NPI:1356648174
Name:PARRA-BENCOMO, LUGARDA (LPC)
Entity Type:Individual
Prefix:
First Name:LUGARDA
Middle Name:
Last Name:PARRA-BENCOMO
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 1:57 N BEDFORD ST
Mailing Address - Street 2:APT#2
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201-1127
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:57 N BEDFORD ST
Practice Address - Street 2:APT#2
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22201-1127
Practice Address - Country:US
Practice Address - Phone:305-877-2650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-14
Last Update Date:2011-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC14079101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health