Matos, Lauren

Matos, Lauren is an sole proprietor health care provider with primary practice located at 2727 W Dr Martin Luther King Jr Blvd Ste 640 , Tampa FL 33607-6399. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Matos, Lauren can be contacted via phone (813) 872-7582.

Contact Information

Primary practice address
2727 W Dr Martin Luther King Jr Blvd Ste 640 Tampa FL 33607-6399
Phone: (813) 872-7582
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X MH12696 Florida
Behavioral Health & Social Service Providers / Professional 101YP2500X MH12696 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH12696 Florida

Profile Details

NPI number 1265849368
LBN Legal business name Matos, Lauren
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2014
Last updated Oct 21st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265849368 NPPES
Florida MEDICAID 022923800

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