| Susan Lautz Lpc | |
|
206 Lee St Terrell TX 75160-3019 | |
| (214) 868-0050 | |
| (972) 551-0350 |
| Full Name | Susan Lautz Lpc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 206 Lee St, Terrell, Texas |
| Authorized Official Name and Position | Susan Cooley Lautz (OWNER) |
| Authorized Official Contact | 2148680050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Lautz Lpc Po Box 2001 Forney TX 75126-2001 Ph: (214) 868-0050 | Susan Lautz Lpc 206 Lee St Terrell TX 75160-3019 Ph: (214) 868-0050 |
| NPI Number | 1932520574 |
|---|---|
| Provider Enumeration Date | 12/29/2013 |
| Last Update Date | 12/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932520574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 63879 (Texas) | Primary |
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