Provider Demographics
NPI:1558760728
Name:STRICKLAND, LAUREN WELLS (LICSW, PIP)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:WELLS
Last Name:STRICKLAND
Suffix:
Gender:F
Credentials:LICSW, PIP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 CHESTERFIELD RD
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39402-1927
Mailing Address - Country:US
Mailing Address - Phone:251-751-1126
Mailing Address - Fax:
Practice Address - Street 1:615 W PINE ST
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39401-3835
Practice Address - Country:US
Practice Address - Phone:251-751-1126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-14
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1108-2322C1041C0700X
MSC58811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical