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NPI Code Detail

MEDICARE: LAUREN MOORE LPC

MEDICARE:   LAUREN  MOORE  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 Counselor67570TX

General Provider Information

NPI Number : 1144627563
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN MOORE LPC
Provider Business Mailing Address
First Line : 1325 LIVE OAK ST
Second Line :
City : ROYSE CITY
State : TX
Zip : 75189-2580
Country : US
Telephone Number : 903-408-9775
Fax Number :
Provider Business Practice Location Address
First Line : 2121 MAIN ST
Second Line :
City : SULPHUR SPRINGS
State : TX
Zip : 75482-3616
Country : US
Telephone Number : 903-885-2776
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2014
Last Update Date : 12/01/2014

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Directions to “ LAUREN MOORE LPC” Practice Location

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