MEDICARE: LAUREN NICOLE KATHLEEN HORVATH M.A., LMFT # 101190

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	106H00000X	Marriage & Family Therapist	1243	LA
2	106H00000X	Marriage & Family Therapist	69524	CA

General Provider Information

NPI Number	:	1093077554
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN NICOLE KATHLEEN HORVATH M.A., LMFT # 101190

Provider Business Mailing Address
First Line	:	2653 N RIVER TRAIL RD
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92865-2015
Country	:	US
Telephone Number	:	714-904-6495
Fax Number	:

Provider Business Practice Location Address
First Line	:	2653 N RIVER TRAIL RD
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92865-2015
Country	:	US
Telephone Number	:	714-904-6495
Fax Number	:

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

Provider Enumeration Date	:	06/11/2012
Last Update Date	:	05/17/2023

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