Provider Demographics
NPI:1881375863
Name:CHAMBERLAIN, LAUREN ELIZABETH (SUPERVISED MFT)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:ELIZABETH
Last Name:CHAMBERLAIN
Suffix:
Gender:F
Credentials:SUPERVISED MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:441 NW W HWY
Mailing Address - Street 2:
Mailing Address - City:KINGSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64061-9117
Mailing Address - Country:US
Mailing Address - Phone:816-308-0246
Mailing Address - Fax:816-566-0486
Practice Address - Street 1:441 NW W HWY
Practice Address - Street 2:
Practice Address - City:KINGSVILLE
Practice Address - State:MO
Practice Address - Zip Code:64061-9117
Practice Address - Country:US
Practice Address - Phone:816-308-0246
Practice Address - Fax:816-566-0486
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist