Provider Demographics
NPI:1679928915
Name:ALEMAN, LUSI GABRIELA (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:LUSI
Middle Name:GABRIELA
Last Name:ALEMAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3323 N MIDLAND DR
Mailing Address - Street 2:113-211
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79707-4608
Mailing Address - Country:US
Mailing Address - Phone:972-589-2360
Mailing Address - Fax:
Practice Address - Street 1:1005 W TEXAS AVE
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79701-6169
Practice Address - Country:US
Practice Address - Phone:972-589-2360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-23
Last Update Date:2016-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62068104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker