MEDICARE: MRS. LAUREN HENRY

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	101Y00000X	Counselor		LA

General Provider Information

NPI Number	:	1548191034
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LAUREN HENRY

Provider Business Mailing Address
First Line	:	8142 KELSEY LN
Second Line	:
City	:	IOWA
State	:	LA
Zip	:	70647-3973
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1515 COMMON ST
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70601-6131
Country	:	US
Telephone Number	:	575-626-0027
Fax Number	:

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

Provider Enumeration Date	:	05/26/2026
Last Update Date	:	05/26/2026

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