Provider Demographics
NPI:1518445097
Name:COX-MANKOWSKI, LAUREN (LPC, LCDC)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:COX-MANKOWSKI
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 1:8090 PRECINCT LINE RD STE 103
Mailing Address - Street 2:
Mailing Address - City:COLLEYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76034-7677
Mailing Address - Country:US
Mailing Address - Phone:817-601-5724
Mailing Address - Fax:
Practice Address - Street 1:8090 PRECINCT LINE RD STE 103
Practice Address - Street 2:
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034-7677
Practice Address - Country:US
Practice Address - Phone:817-601-5724
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-06
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX76914101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional