Doctor Name: | LAURA LEE ESTES |
NPI Number: | 1154608131 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 12651 |
Business Practice Address: | 4300 Main St Ste 500 The Colony, TX - 750562845 |
Business Phone Number: | 3187377407 |
Business Fax Number: | 3187377417 |
Mailing Address: | 407 N 7th St, WEST MONROE |
State: | LA |
Postal Code: | 712914107 |
Phone Number: | 3187377407 |
Fax Number: | 3187377417 |
NPI Enumeration Date: | 11/04/2011 |
NPI Last Update Date: | 11/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 12651 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |