Provider Demographics
NPI:1386476760
Name:O'REILLY, LAUREN VILES
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:VILES
Last Name:O'REILLY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 SIDNEY BLVD
Mailing Address - Street 2:
Mailing Address - City:HAMPDEN
Mailing Address - State:ME
Mailing Address - Zip Code:04444-1417
Mailing Address - Country:US
Mailing Address - Phone:207-314-4336
Mailing Address - Fax:
Practice Address - Street 1:101 SIDNEY BLVD
Practice Address - Street 2:
Practice Address - City:HAMPDEN
Practice Address - State:ME
Practice Address - Zip Code:04444-1417
Practice Address - Country:US
Practice Address - Phone:207-314-4336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-15
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional