MEDICARE: LAUREN SANDERS LPC-A

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
1	101YM0800X	Mental Health Counselor	86163	TX

General Provider Information

NPI Number	:	1598412934
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN SANDERS LPC-A

Provider Business Mailing Address
First Line	:	3720 COLLEGE PARK DR APT 8203
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77384-4848
Country	:	US
Telephone Number	:	218-845-6376
Fax Number	:

Provider Business Practice Location Address
First Line	:	3720 COLLEGE PARK DR APT 8203
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77384-4848
Country	:	US
Telephone Number	:	218-845-6376
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2022
Last Update Date	:	03/19/2024

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