Provider Demographics
NPI:1619360864
Name:THOMAS, LAUREN ELIZABETH (LABA, LMHCA)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:ELIZABETH
Last Name:THOMAS
Suffix:
Gender:F
Credentials:LABA, LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 S FREYA ST
Mailing Address - Street 2:WHITE FLAG BUILDING STE 119
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202
Mailing Address - Country:US
Mailing Address - Phone:509-904-5230
Mailing Address - Fax:509-554-5567
Practice Address - Street 1:104 S FREYA ST
Practice Address - Street 2:WHITE FLAG BUILDING STE 119
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-4893
Practice Address - Country:US
Practice Address - Phone:509-904-5230
Practice Address - Fax:509-554-5567
Is Sole Proprietor?:No
Enumeration Date:2015-03-12
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAB61106724103K00000X
WAMC61119848101YM0800X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst