Provider Demographics
NPI:1043678741
Name:COLEMAN, LAUREN GAY (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:GAY
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2011 MACARTHUR DR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301-3720
Mailing Address - Country:US
Mailing Address - Phone:318-704-6301
Mailing Address - Fax:318-445-1912
Practice Address - Street 1:2011 MACARTHUR DR
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-3720
Practice Address - Country:US
Practice Address - Phone:318-704-6301
Practice Address - Fax:318-445-1912
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-09
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA112971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical