Provider Demographics
NPI:1831631050
Name:KNOWLES, LAURA RUTH (PHD, LPC)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:RUTH
Last Name:KNOWLES
Suffix:
Gender:F
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 S WOODROW LN STE 500
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76205-6328
Mailing Address - Country:US
Mailing Address - Phone:972-885-6435
Mailing Address - Fax:
Practice Address - Street 1:8501 RASOR BLVD
Practice Address - Street 2:SUITE 204
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024
Practice Address - Country:US
Practice Address - Phone:972-885-6435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-07
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70511101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional