| Doctor Name: | LORRE ROYANNE BRACY |
| NPI Number: | 1003074394 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | LPC-2117 |
| Business Practice Address: | 1830 E Roosevelt St Phoenix, AZ - 850063641 |
| Business Phone Number: | 6022565300 |
| Business Fax Number: | |
| Mailing Address: | 1214 W Citation Dr, CHANDLER |
| State: | AZ |
| Postal Code: | 852242385 |
| Phone Number: | 4802789024 |
| Fax Number: | |
| NPI Enumeration Date: | 05/23/2008 |
| NPI Last Update Date: | 05/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC-2117 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |