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NPI Code Detail

MEDICARE: MISS LAUREN ELIZABETH BURKHALTER M.A., LPC

MEDICARE: MISS LAUREN ELIZABETH BURKHALTER M.A., LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor93470TX

General Provider Information

NPI Number : 1215540885
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS LAUREN ELIZABETH BURKHALTER M.A., LPC
Provider Business Mailing Address
First Line : 2009 ELM PL
Second Line :
City : NORTHLAKE
State : TX
Zip : 76247-2700
Country : US
Telephone Number : 580-380-5752
Fax Number :
Provider Business Practice Location Address
First Line : 700 E PARK BLVD STE 206
Second Line :
City : PLANO
State : TX
Zip : 75074-5472
Country : US
Telephone Number : 469-564-4211
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2020
Last Update Date : 02/10/2026

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