Provider Demographics
NPI:1467034587
Name:LAUREN D STOKES PHD MP LLC
Entity Type:Organization
Organization Name:LAUREN D STOKES PHD MP LLC
Other - Org Name:CENTRAL LOUISIANA MEDICAL PSYCHOLOGY CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MEDICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:DRERUP
Authorized Official - Last Name:STOKES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, MP
Authorized Official - Phone:318-545-7255
Mailing Address - Street 1:140 WINDERMERE BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71303-3583
Mailing Address - Country:US
Mailing Address - Phone:318-545-7255
Mailing Address - Fax:
Practice Address - Street 1:140 WINDERMERE BLVD STE A
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71303-3583
Practice Address - Country:US
Practice Address - Phone:785-979-2667
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-27
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)Group - Multi-Specialty