Provider Demographics
NPI:1336826403
Name:LAURA LUGO, LICENSED MARRIAGE AND FAMILY THERAPIST, INC
Entity Type:Organization
Organization Name:LAURA LUGO, LICENSED MARRIAGE AND FAMILY THERAPIST, INC
Other - Org Name:WESTWIND COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:LUGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-332-8844
Mailing Address - Street 1:PO BOX 4402
Mailing Address - Street 2:
Mailing Address - City:EL CENTRO
Mailing Address - State:CA
Mailing Address - Zip Code:92244-4402
Mailing Address - Country:US
Mailing Address - Phone:760-332-8844
Mailing Address - Fax:760-459-1762
Practice Address - Street 1:945 WESTWIND DR
Practice Address - Street 2:
Practice Address - City:EL CENTRO
Practice Address - State:CA
Practice Address - Zip Code:92243-4365
Practice Address - Country:US
Practice Address - Phone:760-332-8844
Practice Address - Fax:760-459-1762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-30
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty