Provider Demographics
NPI:1811761265
Name:TITSWORTH, LAUREN (LMFT-S, LCDC)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:
Last Name:TITSWORTH
Suffix:
Gender:F
Credentials:LMFT-S, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1937 RAMADA TRL
Mailing Address - Street 2:
Mailing Address - City:JUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:76247-6757
Mailing Address - Country:US
Mailing Address - Phone:214-617-6163
Mailing Address - Fax:
Practice Address - Street 1:909 GREENLEE ST
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-7064
Practice Address - Country:US
Practice Address - Phone:940-218-8917
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-07
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13403101YA0400X
TX202924106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)