Provider Demographics
NPI:1396367330
Name:SCIALDO, LAUREN (LPC)
Entity Type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:
Last Name:SCIALDO
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 1:4411 SPICEWOOD SPRINGS RD APT 1804
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-8576
Mailing Address - Country:US
Mailing Address - Phone:518-334-1378
Mailing Address - Fax:
Practice Address - Street 1:4411 SPICEWOOD SPRINGS RD APT 1804
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-8576
Practice Address - Country:US
Practice Address - Phone:518-334-1378
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-13
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX77862101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional