Provider Demographics
NPI:1922547975
Name:LAURA KNOWLES PHD PLLC
Entity type:Organization
Organization Name:LAURA KNOWLES PHD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAUA
Authorized Official - Middle Name:
Authorized Official - Last Name:KNOWLES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:361-649-5072
Mailing Address - Street 1:109 S WOODROW LN STE 500
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76205-6328
Mailing Address - Country:US
Mailing Address - Phone:972-885-6435
Mailing Address - Fax:
Practice Address - Street 1:109 S WOODROW LN
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76205-6310
Practice Address - Country:US
Practice Address - Phone:972-885-6435
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-22
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty