Provider Demographics
NPI: | 1144301037 |
---|---|
Name: | GROVES, LAUREN CHRISTENSEN (LPC, LCDC) |
Entity type: | Individual |
Prefix: | |
First Name: | LAUREN |
Middle Name: | CHRISTENSEN |
Last Name: | GROVES |
Suffix: | |
Gender: | F |
Credentials: | LPC, LCDC |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 8535 TOM SLICK |
Mailing Address - Street 2: | |
Mailing Address - City: | SAN ANTONIO |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 78229-3367 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 210-616-0300 |
Mailing Address - Fax: | 210-582-6463 |
Practice Address - Street 1: | 8535 TOM SLICK |
Practice Address - Street 2: | |
Practice Address - City: | SAN ANTONIO |
Practice Address - State: | TX |
Practice Address - Zip Code: | 78229-3367 |
Practice Address - Country: | US |
Practice Address - Phone: | 210-616-0300 |
Practice Address - Fax: | 210-582-6463 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2006-10-18 |
Last Update Date: | 2025-09-11 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
TX | 10197 | 101YA0400X |
TX | 19486 | 101YM0800X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) |
No | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
TX | 268740 | Medicare UPIN |