Provider Demographics
NPI:1811424237
Name:HALL, LAUREN (MA, LPC, LCDC-I)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:HALL
Suffix:
Gender:F
Credentials:MA, LPC, LCDC-I
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:GLORIA
Other - Last Name:HALL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA
Mailing Address - Street 1:11220 WEST RD APT 1433
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-4724
Mailing Address - Country:US
Mailing Address - Phone:832-508-6801
Mailing Address - Fax:
Practice Address - Street 1:3663 N SAM HOUSTON PKWY E STE 600
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77032-3611
Practice Address - Country:US
Practice Address - Phone:832-428-7756
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-16
Last Update Date:2017-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX74088101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional