Provider Demographics
NPI:1902158470
Name:VAKOS, LAUREN (LMFT, ATR)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:VAKOS
Suffix:
Gender:F
Credentials:LMFT, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7308 ALMA DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-3568
Mailing Address - Country:US
Mailing Address - Phone:972-422-5939
Mailing Address - Fax:
Practice Address - Street 1:1341 W MOCKINGBIRD LN STE 500E
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75247-4937
Practice Address - Country:US
Practice Address - Phone:214-456-8899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-09
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202606106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist