Provider Demographics
NPI:1952860744
Name:THOMPSON, LUCIANA (APRN, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:LUCIANA
Middle Name:
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14420 W SYLVANFIELD DR STE 250
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014-1678
Mailing Address - Country:US
Mailing Address - Phone:281-836-5452
Mailing Address - Fax:281-836-5486
Practice Address - Street 1:14420 W SYLVANFIELD DR STE 250
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77014-1678
Practice Address - Country:US
Practice Address - Phone:973-897-4804
Practice Address - Fax:281-836-5486
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-19
Last Update Date:2022-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP141018363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health