Provider Demographics
NPI:1851071054
Name:LAUREN DIAZ, LCSW, PLLC
Entity Type:Organization
Organization Name:LAUREN DIAZ, LCSW, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:817-725-7110
Mailing Address - Street 1:700 HIGHLANDER BLVD STE 500
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-4326
Mailing Address - Country:US
Mailing Address - Phone:817-725-7110
Mailing Address - Fax:817-725-7127
Practice Address - Street 1:700 HIGHLANDER BLVD STE 500
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-4326
Practice Address - Country:US
Practice Address - Phone:817-725-7110
Practice Address - Fax:817-725-7127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-21
Last Update Date:2023-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty