Provider Demographics
NPI:1649861667
Name:RUSHING, LAURA MAY (LCSW)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:MAY
Last Name:RUSHING
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 WESTBANK DR STE 6-250
Mailing Address - Street 2:
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-7064
Mailing Address - Country:US
Mailing Address - Phone:512-842-9715
Mailing Address - Fax:
Practice Address - Street 1:1000 WESTBANK DR STE 6-250
Practice Address - Street 2:
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-7064
Practice Address - Country:US
Practice Address - Phone:512-842-9715
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-02
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX636391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical