Provider Demographics
NPI:1104157304
Name:AUERBACH, LAUREN J (LMFT)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:J
Last Name:AUERBACH
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10350 SANTA MONICA BLVD
Mailing Address - Street 2:# 300
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-5055
Mailing Address - Country:US
Mailing Address - Phone:323-446-7429
Mailing Address - Fax:
Practice Address - Street 1:10350 SANTA MONICA BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-5055
Practice Address - Country:US
Practice Address - Phone:323-446-7429
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-27
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 51018106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist