Provider Demographics
NPI:1699253559
Name:DIAZ, LAUREN M (LMSW)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:M
Last Name:DIAZ
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:M
Other - Last Name:MARTINEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:722 CREEKSIDE CT
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AL
Mailing Address - Zip Code:35080-3294
Mailing Address - Country:US
Mailing Address - Phone:205-202-9685
Mailing Address - Fax:
Practice Address - Street 1:722 CREEKSIDE CT
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:AL
Practice Address - Zip Code:35080-3294
Practice Address - Country:US
Practice Address - Phone:205-202-9685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-02
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX634141041C0700X
AL4806G1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical