Provider Demographics
NPI:1609339290
Name:GOFF, LAUREN NICOLE (LPC)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:NICOLE
Last Name:GOFF
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:LAUREN
Other - Middle Name:NICOLE
Other - Last Name:FORDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:134 VINTAGE PARK BLVD
Mailing Address - Street 2:STE A #389
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070
Mailing Address - Country:US
Mailing Address - Phone:832-317-6360
Mailing Address - Fax:832-652-3626
Practice Address - Street 1:15235 SPRING CYPRESS RD.
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429
Practice Address - Country:US
Practice Address - Phone:832-317-6360
Practice Address - Fax:832-652-3626
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-10
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX77507101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional