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 |