Provider Demographics
NPI:1962053165
Name:PITTS-BOUNDS, LAUREN D (EDD, MFT)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:D
Last Name:PITTS-BOUNDS
Suffix:
Gender:F
Credentials:EDD, MFT
Other - Prefix:DR
Other - First Name:LAUREN
Other - Middle Name:D
Other - Last Name:PITTS-BOUNDS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:EDD, LMFT
Mailing Address - Street 1:539 W COMMERCE ST STE 8246
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75208-1953
Mailing Address - Country:US
Mailing Address - Phone:833-574-8878
Mailing Address - Fax:
Practice Address - Street 1:539 W COMMERCE ST STE 8246
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-1953
Practice Address - Country:US
Practice Address - Phone:833-574-8878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-27
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX205111106H00000X
DEFT-0010070106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist