Individual
MISTY ELLE LAUREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
101 KING PLZ STE D, COMMERCE, TX 75428-3734
(903) 440-4407
Mailing address
PO BOX 1372, SULPHUR SPRINGS, TX 75483-1372
(903) 440-4407
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
62148
TX
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
12/08/2021
Last updated
11/25/2025
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