Provider Demographics
NPI:1104501220
Name:FOSTER, LAUREN BARTMESS (MS, LPC)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:BARTMESS
Last Name:FOSTER
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:MISS
Other - First Name:LAUREN
Other - Middle Name:KATHRYN
Other - Last Name:BARTMESS WEAVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1205 OVERLOOK DR
Mailing Address - Street 2:
Mailing Address - City:TRUSSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35173-3837
Mailing Address - Country:US
Mailing Address - Phone:205-393-1412
Mailing Address - Fax:
Practice Address - Street 1:3918 MONTCLAIR RD STE 206
Practice Address - Street 2:
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35213-2418
Practice Address - Country:US
Practice Address - Phone:205-994-2798
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-16
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALLPC04933101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional