Provider Demographics
NPI:1306591821
Name:MAHEU, LAUREN (REN MAHEU)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:MAHEU
Suffix:
Gender:F
Credentials:REN MAHEU
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:MAJEU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1042 ANNUNCIATION ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70130-3831
Mailing Address - Country:US
Mailing Address - Phone:504-303-4646
Mailing Address - Fax:
Practice Address - Street 1:1042 ANNUNCIATION ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-3831
Practice Address - Country:US
Practice Address - Phone:504-303-4646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-14
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
LA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health