MEDICARE: LAUREN WALL WRIGHT M.A.,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
1	101YP2500X	Professional Counselor	92410	TX

General Provider Information

NPI Number	:	1609727551
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN WALL WRIGHT M.A.,LPC

Provider Business Mailing Address
First Line	:	206 BIRCHWOOD DR
Second Line	:
City	:	VICTORIA
State	:	TX
Zip	:	77901-2109
Country	:	US
Telephone Number	:	361-649-3463
Fax Number	:

Provider Business Practice Location Address
First Line	:	4702 N LAURENT ST
Second Line	:
City	:	VICTORIA
State	:	TX
Zip	:	77904-2147
Country	:	US
Telephone Number	:	361-572-0202
Fax Number	:	361-572-0300

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

Provider Enumeration Date	:	02/06/2026
Last Update Date	:	02/06/2026

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