Provider Demographics
NPI:1013351352
Name:ABERNATHY, LAURIEANNE (MS, NCC, LPC)
Entity Type:Individual
Prefix:
First Name:LAURIEANNE
Middle Name:
Last Name:ABERNATHY
Suffix:
Gender:F
Credentials:MS, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 HIGHLAND DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:TX
Mailing Address - Zip Code:75686-9070
Mailing Address - Country:US
Mailing Address - Phone:903-343-7839
Mailing Address - Fax:
Practice Address - Street 1:206 HIGHLAND DR
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:TX
Practice Address - Zip Code:75686-9070
Practice Address - Country:US
Practice Address - Phone:903-343-7839
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-17
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70655101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional