Provider Demographics
NPI:1073067831
Name:RUSHTON, LAUREN (LPC INTERN)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:
Last Name:RUSHTON
Suffix:
Gender:F
Credentials:LPC INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9772 WHITHORN DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-5025
Mailing Address - Country:US
Mailing Address - Phone:936-900-8566
Mailing Address - Fax:
Practice Address - Street 1:9772 WHITHORN DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-5025
Practice Address - Country:US
Practice Address - Phone:936-900-8566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-10
Last Update Date:2016-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75559101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health