Provider Demographics
NPI:1710022934
Name:LEISING, LAUREN ELIZABETH (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:ELIZABETH
Last Name:LEISING
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:LAUREN
Other - Middle Name:ELIZABETH
Other - Last Name:KRAMLICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6410 SOUTHWEST BLVD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:BENBROOK
Mailing Address - State:TX
Mailing Address - Zip Code:76109-3914
Mailing Address - Country:US
Mailing Address - Phone:817-846-8012
Mailing Address - Fax:817-370-1068
Practice Address - Street 1:6410 SOUTHWEST BLVD
Practice Address - Street 2:SUITE 230
Practice Address - City:BENBROOK
Practice Address - State:TX
Practice Address - Zip Code:76109-3914
Practice Address - Country:US
Practice Address - Phone:817-846-8012
Practice Address - Fax:817-370-1068
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2015-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor