Provider Demographics
NPI:1972674208
Name:MCGAUGHEY, LAURA BETH (PHD, LPC-S)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:BETH
Last Name:MCGAUGHEY
Suffix:
Gender:F
Credentials:PHD, LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:422 N GREEN ST STE B
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75601-6452
Mailing Address - Country:US
Mailing Address - Phone:903-746-8877
Mailing Address - Fax:
Practice Address - Street 1:422 N GREEN ST STE B
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75601-6452
Practice Address - Country:US
Practice Address - Phone:903-746-8877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-10
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18258101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX160432401Medicaid