Provider Demographics
NPI:1467099614
Name:LUX, ANNA MARIA (MS, LPC, BCN)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIA
Last Name:LUX
Suffix:
Gender:F
Credentials:MS, LPC, BCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16607 BLANCO RD STE 904
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-1942
Mailing Address - Country:US
Mailing Address - Phone:210-617-8871
Mailing Address - Fax:
Practice Address - Street 1:16607 BLANCO RD STE 904
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-1942
Practice Address - Country:US
Practice Address - Phone:210-617-8871
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-06
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75210101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health