Sullivan, Lauren

Sullivan, Lauren is an sole proprietor health care provider with primary practice located at 424 Boxwood Rd , Bryn Mawr PA 19010-1222. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Sullivan, Lauren can be contacted via phone (610) 955-7892.

Contact Information

Primary practice address
424 Boxwood Rd Bryn Mawr PA 19010-1222
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X PC016591 Pennsylvania
Behavioral Health & Social Service Providers / Mental Health 101YM0800X PC016591 Pennsylvania

Profile Details

NPI number 1235729716
LBN Legal business name Sullivan, Lauren
Credentials LPC, MED, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2021
Last updated Dec 11th, 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 1235729716 NPPES
Pennsylvania Other PC016591 PROFESSIONAL COUNSELOR

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