Provider Demographics
NPI:1902280936
Name:THOMAS, LAUREN FRANCES (LMHCA)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:FRANCES
Last Name:THOMAS
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:STUEDLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHA
Mailing Address - Street 1:240 N TILLOTSON AVE
Mailing Address - Street 2:
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47304-3988
Mailing Address - Country:US
Mailing Address - Phone:765-288-1928
Mailing Address - Fax:765-741-0310
Practice Address - Street 1:3620 W WHITE RIVER BLVD
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47304-4286
Practice Address - Country:US
Practice Address - Phone:765-288-1928
Practice Address - Fax:765-288-2032
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-20
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN88000216A101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor