Provider Demographics
NPI:1619613627
Name:FORRESTER, LAURA (LPC-S)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:FORRESTER
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:DODGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9872 SAN LEA DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75228-3918
Mailing Address - Country:US
Mailing Address - Phone:214-460-8984
Mailing Address - Fax:
Practice Address - Street 1:4144 N CENTRAL EXPY STE 850
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-3226
Practice Address - Country:US
Practice Address - Phone:512-956-6463
Practice Address - Fax:866-653-5142
Is Sole Proprietor?:No
Enumeration Date:2022-05-11
Last Update Date:2025-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70591101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional