Provider Demographics
NPI:1306185418
Name:LANCASTER, LAURA LYNN (LPC)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:LYNN
Last Name:LANCASTER
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 1:4520 OAKGROVE LN
Mailing Address - Street 2:
Mailing Address - City:SACHSE
Mailing Address - State:TX
Mailing Address - Zip Code:75048-4575
Mailing Address - Country:US
Mailing Address - Phone:972-530-9223
Mailing Address - Fax:
Practice Address - Street 1:4520 OAKGROVE LN
Practice Address - Street 2:
Practice Address - City:SACHSE
Practice Address - State:TX
Practice Address - Zip Code:75048-4575
Practice Address - Country:US
Practice Address - Phone:972-530-9223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-08
Last Update Date:2013-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63137101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX801598459OtherOFFICE OF THE SECRETARY OF STATE