Provider Demographics
NPI:1386794121
Name:CARUTHERS, LAURA PARSLEY (LCSW)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:PARSLEY
Last Name:CARUTHERS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2323 COLUMBUS AVE
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76701-1040
Mailing Address - Country:US
Mailing Address - Phone:254-752-9330
Mailing Address - Fax:254-752-9655
Practice Address - Street 1:2323 COLUMBUS AVE
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76701-1040
Practice Address - Country:US
Practice Address - Phone:254-752-9330
Practice Address - Fax:254-752-9655
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX381351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical