Provider Demographics
NPI:1588271050
Name:LAUS, JAZMIN (LMFTA)
Entity type:Individual
Prefix:
First Name:JAZMIN
Middle Name:
Last Name:LAUS
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 SERENITY HILL CIR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-0390
Mailing Address - Country:US
Mailing Address - Phone:984-314-3338
Mailing Address - Fax:336-900-1666
Practice Address - Street 1:136 WEST ST STE 304
Practice Address - Street 2:
Practice Address - City:PITTSBORO
Practice Address - State:NC
Practice Address - Zip Code:27312-9470
Practice Address - Country:US
Practice Address - Phone:984-314-3338
Practice Address - Fax:336-900-1666
Is Sole Proprietor?:No
Enumeration Date:2020-09-28
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
NC20269A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician