Provider Demographics
NPI:1629663117
Name:HUIE, LAUREN ELISE (MSN, APRN, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:ELISE
Last Name:HUIE
Suffix:
Gender:F
Credentials:MSN, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 5TH ST SW
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75460-6999
Mailing Address - Country:US
Mailing Address - Phone:903-517-1790
Mailing Address - Fax:
Practice Address - Street 1:3737 LAMAR AVE STE 100
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-9463
Practice Address - Country:US
Practice Address - Phone:430-228-2374
Practice Address - Fax:903-900-1099
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-05
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1030874363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health