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NPI Code Detail

MEDICARE: MRS. LAUREN E GILLEY LPC

MEDICARE:  MRS. LAUREN E GILLEY  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
1101YP2500XProfessional CounselorLPC05072KS

General Provider Information

NPI Number : 1053200451
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAUREN E GILLEY LPC
Provider Business Mailing Address
First Line : 10209 W CENTRAL AVE
Second Line :
City : WICHITA
State : KS
Zip : 67212-4684
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10209 W CENTRAL AVE
Second Line :
City : WICHITA
State : KS
Zip : 67212-4684
Country : US
Telephone Number : 316-519-7325
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2025
Last Update Date : 07/01/2025

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Directions to “ MRS. LAUREN E GILLEY LPC” Practice Location

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