Provider Demographics
NPI:1801670419
Name:WESTERMAN, LAUREN (MA, LPC, LSOTP)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:WESTERMAN
Suffix:
Gender:F
Credentials:MA, LPC, LSOTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:196 MARGARET AVE APT 1554
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75207-4064
Mailing Address - Country:US
Mailing Address - Phone:303-562-5203
Mailing Address - Fax:
Practice Address - Street 1:7211 PRESTON RD STE 3300
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-0246
Practice Address - Country:US
Practice Address - Phone:303-562-5203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-23
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX83759101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional