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NPI Code Detail

MEDICARE: LAUREN RICHARDSON LMFT ASSOCIATE

MEDICARE: LAUREN RICHARDSON LMFT ASSOCIATE
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
1106H00000XMarriage & Family Therapist205239TX

General Provider Information

NPI Number : 1477333672
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN RICHARDSON LMFT ASSOCIATE
Provider Business Mailing Address
First Line : 245 W 17TH ST
Second Line :
City : HOUSTON
State : TX
Zip : 77008-4001
Country : US
Telephone Number : 281-912-3290
Fax Number :
Provider Business Practice Location Address
First Line : 245 W 17TH ST
Second Line :
City : HOUSTON
State : TX
Zip : 77008-4001
Country : US
Telephone Number : 713-352-7789
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2023
Last Update Date : 10/04/2023

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