Provider Demographics
NPI:1124445028
Name:PRIESTER, LAUREN (MA, LPC-S)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:PRIESTER
Suffix:
Gender:F
Credentials:MA, LPC-S
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:REED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1421 S BOSTON AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74119-3607
Mailing Address - Country:US
Mailing Address - Phone:918-699-0550
Mailing Address - Fax:918-699-0598
Practice Address - Street 1:1421 S BOSTON AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74119
Practice Address - Country:US
Practice Address - Phone:918-699-0550
Practice Address - Fax:918-699-0598
Is Sole Proprietor?:No
Enumeration Date:2014-03-28
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK6725101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health