# LAUREN SELF COUNSELING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578109922
- **Authorized official:** MRS. LAUREN SELF LPC (COUNSELOR)
- **Authorized official phone:** (256) 644-4005

## Contact information

- **Practice address:** 600 MADISON ST SE, HUNTSVILLE, AL 35801-4401
- **Practice address phone:** (256) 644-4005
- **Mailing address:** 103 BEAU TERRA LN, HUNTSVILLE, AL 35811-8090
- **Mailing address phone:** (256) 604-0836

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 11/20/2019
- **Last updated:** 11/20/2019