Provider Demographics
NPI:1457068660
Name:BECKLER, LANI KE'ALA (LPC)
Entity Type:Individual
Prefix:
First Name:LANI
Middle Name:KE'ALA
Last Name:BECKLER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:LANI
Other - Middle Name:KE'ALA
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2101 W PEARL ST
Mailing Address - Street 2:
Mailing Address - City:GRANBURY
Mailing Address - State:TX
Mailing Address - Zip Code:76048-1894
Mailing Address - Country:US
Mailing Address - Phone:817-579-4400
Mailing Address - Fax:866-452-5424
Practice Address - Street 1:1601 N ANGLIN ST
Practice Address - Street 2:
Practice Address - City:CLEBURNE
Practice Address - State:TX
Practice Address - Zip Code:76031-1835
Practice Address - Country:US
Practice Address - Phone:817-558-1121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-28
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX84249101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional