Provider Demographics
NPI:1609537695
Name:BAUMGARTEN, LAUREN ELAINE
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:ELAINE
Last Name:BAUMGARTEN
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 1:437 WILLIAM WALLACE DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-6180
Mailing Address - Country:US
Mailing Address - Phone:270-217-5381
Mailing Address - Fax:
Practice Address - Street 1:377 RIVERSIDE DR STE 302
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-5393
Practice Address - Country:US
Practice Address - Phone:615-905-6571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-03
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2234106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist