Provider Demographics
NPI:1710339460
Name:EDWARDS, LAUREN ASHLEY (MS, LPC)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:ASHLEY
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:ASHLEY
Other - Last Name:WINKLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3050 S NATIONAL AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-4242
Mailing Address - Country:US
Mailing Address - Phone:417-597-4572
Mailing Address - Fax:417-882-1507
Practice Address - Street 1:3050 S NATIONAL AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-4242
Practice Address - Country:US
Practice Address - Phone:417-597-4572
Practice Address - Fax:417-882-1507
Is Sole Proprietor?:No
Enumeration Date:2016-07-06
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016041842101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional