Provider Demographics
NPI:1558805556
Name:LANIER, LAURA (MS, LPC-INTERN, NCC)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:
Last Name:LANIER
Suffix:
Gender:F
Credentials:MS, LPC-INTERN, NCC
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:CARTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:908 N AUSTIN ST
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-3112
Mailing Address - Country:US
Mailing Address - Phone:817-681-1907
Mailing Address - Fax:
Practice Address - Street 1:1430 ROBINSON RD
Practice Address - Street 2:#430
Practice Address - City:CORINTH
Practice Address - State:TX
Practice Address - Zip Code:76210-3154
Practice Address - Country:US
Practice Address - Phone:940-222-8703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-09
Last Update Date:2016-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX76856101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional