Provider Demographics
NPI:1366333528
Name:RUSH, LORANA (LPC-A, MS)
Entity type:Individual
Prefix:
First Name:LORANA
Middle Name:
Last Name:RUSH
Suffix:
Gender:F
Credentials:LPC-A, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 COUNTY ROAD 1812
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:TX
Mailing Address - Zip Code:76634-3218
Mailing Address - Country:US
Mailing Address - Phone:214-477-5691
Mailing Address - Fax:
Practice Address - Street 1:360 HIGHWAY TX-22
Practice Address - Street 2:UNIT A
Practice Address - City:CLIFTON
Practice Address - State:TX
Practice Address - Zip Code:76634-3218
Practice Address - Country:US
Practice Address - Phone:254-300-9396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99040101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health