Provider Demographics
NPI:1124036215
Name:VANN, LORI M (LPC-S)
Entity Type:Individual
Prefix:MRS
First Name:LORI
Middle Name:M
Last Name:VANN
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4020 HUFFINES BLVD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-6519
Mailing Address - Country:US
Mailing Address - Phone:214-270-6966
Mailing Address - Fax:972-512-3758
Practice Address - Street 1:4020 HUFFINES BLVD
Practice Address - Street 2:SUITE 120
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-6519
Practice Address - Country:US
Practice Address - Phone:214-270-6966
Practice Address - Fax:972-512-3758
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2009-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16899101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health