Provider Demographics
NPI:1255192985
Name:NOVAK, LAUREN MICHELE (LMFT, LPC-A)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:MICHELE
Last Name:NOVAK
Suffix:
Gender:F
Credentials:LMFT, LPC-A
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:MICHELE
Other - Last Name:CARBALLO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT, LPC-A
Mailing Address - Street 1:5757 WOODWAY DR STE 285
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-1533
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5757 WOODWAY DR STE 285
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-1533
Practice Address - Country:US
Practice Address - Phone:713-589-7941
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-19
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX82121101YM0800X
TX203315101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health