MEDICARE: LAUREN REED

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	81531	TX
2	106H00000X	Marriage & Family Therapist	203482	TX

General Provider Information

NPI Number	:	1730947961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN REED

Provider Business Mailing Address
First Line	:	12101 DESSAU RD APT 1106
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78754-2086
Country	:	US
Telephone Number	:	678-654-3491
Fax Number	:

Provider Business Practice Location Address
First Line	:	12101 DESSAU RD APT 1106
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78754-2086
Country	:	US
Telephone Number	:	678-654-3491
Fax Number	:

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

Provider Enumeration Date	:	03/12/2024
Last Update Date	:	03/12/2024

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Directions to “ LAUREN REED ” Practice Location

Language	Start Address	Practice Location

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