Provider Demographics
NPI:1275150724
Name:ARNOLD, LAURA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1450 ROSS CLARK CIR STE 3
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36301-4736
Mailing Address - Country:US
Mailing Address - Phone:334-794-2113
Mailing Address - Fax:334-702-1220
Practice Address - Street 1:1450 ROSS CLARK CIR STE 3
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36301-4736
Practice Address - Country:US
Practice Address - Phone:334-794-2113
Practice Address - Fax:334-702-1220
Is Sole Proprietor?:No
Enumeration Date:2020-07-01
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2699101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health