Provider Demographics
NPI:1063124253
Name:LAUREN HUNTER LCSW P.C
Entity type:Organization
Organization Name:LAUREN HUNTER LCSW P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & LCSW
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-410-6505
Mailing Address - Street 1:1227 MAIN ST STE 301
Mailing Address - Street 2:
Mailing Address - City:PORT JEFFERSON
Mailing Address - State:NY
Mailing Address - Zip Code:11777-2227
Mailing Address - Country:US
Mailing Address - Phone:631-560-0914
Mailing Address - Fax:
Practice Address - Street 1:1227 MAIN ST STE 301
Practice Address - Street 2:
Practice Address - City:PORT JEFFERSON
Practice Address - State:NY
Practice Address - Zip Code:11777-2227
Practice Address - Country:US
Practice Address - Phone:631-560-0914
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty