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NPI Code Detail

MEDICARE: MR. LAWRENCE HENRY RANDLE III LPC

MEDICARE: MR. LAWRENCE HENRY RANDLE III 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
1101YP2500XProfessional Counselor10796TX

General Provider Information

NPI Number : 1912864539
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. LAWRENCE HENRY RANDLE III LPC
Provider Business Mailing Address
First Line : PO BOX 297
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-0109
Country : US
Telephone Number : 817-330-4318
Fax Number :
Provider Business Practice Location Address
First Line : 405 AIRPORT FWY STE 2
Second Line :
City : BEDFORD
State : TX
Zip : 76021-5334
Country : US
Telephone Number : 682-445-0431
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2026
Last Update Date : 01/06/2026

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