Healthcare Provider Details

I. General information

NPI: 1497279855
Provider Name (Legal Business Name): LAUREN WEDGEWORTH MS, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2017
Last Update Date: 02/04/2026
Certification Date: 02/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 S LOCUST ST STE 602
DENTON TX
76201-6159
US

IV. Provider business mailing address

101 S LOCUST ST STE 602
DENTON TX
76201-6159
US

V. Phone/Fax

Practice location:
  • Phone: 512-782-8108
  • Fax:
Mailing address:
  • Phone: 512-782-8108
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number70852
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number70852
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: