MEDICARE: MS. LAUREN MASCIARELLI MA, LPC-S, LMFT-S

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	65462	TX
2	106H00000X	Marriage & Family Therapist	201518	TX

General Provider Information

NPI Number	:	1861735540
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LAUREN MASCIARELLI MA, LPC-S, LMFT-S

Provider Business Mailing Address
First Line	:	7035 BEE CAVES RD STE 101
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78746-5064
Country	:	US
Telephone Number	:	318-545-6491
Fax Number	:	512-329-6146

Provider Business Practice Location Address
First Line	:	7035 BEE CAVES RD STE 101
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78746-5064
Country	:	US
Telephone Number	:	318-545-6491
Fax Number	:	512-329-6146

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

Provider Enumeration Date	:	04/01/2013
Last Update Date	:	08/18/2024

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