MEDICARE: LAUREN PAIGE WALLS

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	101YP2500X	Professional Counselor	97016	TX

General Provider Information

NPI Number	:	1568326932
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN PAIGE WALLS

Provider Business Mailing Address
First Line	:	1201 SILBER RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77055-7127
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 SILBER RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77055-7127
Country	:	US
Telephone Number	:	713-892-5464
Fax Number	:

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

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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Directions to “ LAUREN PAIGE WALLS ” Practice Location

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