Provider Demographics
NPI:1285712661
Name:BOICE, LAURA LEE (MA, LPC)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:LEE
Last Name:BOICE
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11014 ALHAMBRA DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-5302
Mailing Address - Country:US
Mailing Address - Phone:512-343-2151
Mailing Address - Fax:512-343-2151
Practice Address - Street 1:12741 RESEARCH BLVD
Practice Address - Street 2:SUITE 303
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-4388
Practice Address - Country:US
Practice Address - Phone:512-343-2151
Practice Address - Fax:512-343-2151
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17149101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional