Provider Demographics
NPI:1356602817
Name:WYCOFF, LAUREN (LPC, LMFT, LCDC)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:WYCOFF
Suffix:
Gender:F
Credentials:LPC, LMFT, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8105 RASOR BLVD STE 246
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-0341
Mailing Address - Country:US
Mailing Address - Phone:281-460-6150
Mailing Address - Fax:
Practice Address - Street 1:8105 RASOR BLVD STE 246
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-0341
Practice Address - Country:US
Practice Address - Phone:281-460-6150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-31
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11706101YA0400X
TX77077101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)