Lauren Graham | Liberty, MO • PECOS Search

Lauren Graham

Counselor

Behavioral Health & Social Service Providers

888 Haines Ste 230, Liberty, MO 64068-1008

PECOS Enrollment

Based on the most recent information from CMS, provider Lauren Graham does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1427518810
Provider Type
Individual
Full Name
Graham, Lauren
Credential
MA, CIT

Gender
Female
Sole Proprietor
No
Enumeration Date
3/21/2019
Last Updated
3/21/2019

Contact Information

Practice Location

888 Haines Ste 230, Liberty, MO 64068-1008

Unlisted Fax

Mailing Location

3610 N Chouteau Trfy Apt A, Kansas City, MO 64117-3105

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer