Provider Demographics
NPI:1669744009
Name:HIGHTOWER, LAURIE ANN (PHD, LMFTS,LPCS, NCC)
Entity type:Individual
Prefix:DR
First Name:LAURIE
Middle Name:ANN
Last Name:HIGHTOWER
Suffix:
Gender:F
Credentials:PHD, LMFTS,LPCS, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 756
Mailing Address - Street 2:
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-0756
Mailing Address - Country:US
Mailing Address - Phone:210-376-8292
Mailing Address - Fax:
Practice Address - Street 1:14893 BANDERA RD STE 5A
Practice Address - Street 2:
Practice Address - City:HELOTES
Practice Address - State:TX
Practice Address - Zip Code:78023-3742
Practice Address - Country:US
Practice Address - Phone:210-376-8292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-01
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65170101YP2500X
TX201471106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional