Provider Demographics
NPI:1235604968
Name:HALE-GONZALES, LAUREN (LPC)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:HALE-GONZALES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:HALE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4208 WORTH FOREST DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76016-4950
Mailing Address - Country:US
Mailing Address - Phone:214-724-0702
Mailing Address - Fax:254-531-0510
Practice Address - Street 1:3900 BLUEBONNET LN STE 100
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:TX
Practice Address - Zip Code:76670-1259
Practice Address - Country:US
Practice Address - Phone:214-724-0702
Practice Address - Fax:254-531-0510
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-09
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75554101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty