Provider Demographics
NPI:1720710965
Name:PLATT, LAURA KATHERINE (FMCHC, NBC-HWC)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:KATHERINE
Last Name:PLATT
Suffix:
Gender:F
Credentials:FMCHC, NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4848 PIN OAK PARK APT 324
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-2276
Mailing Address - Country:US
Mailing Address - Phone:409-444-1344
Mailing Address - Fax:
Practice Address - Street 1:4848 PIN OAK PARK APT 324
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-2276
Practice Address - Country:US
Practice Address - Phone:409-444-1344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-27
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
A-3088395OtherNATIONAL BOARD FOR HEALTH & WELLNESS COACHES