| Lauren Drake, Llc | |
|
400 Tenney Ave Ste 114 Amherst OH 44001-2268 | |
| (567) 623-9049 | |
| Not Available |
| Full Name | Lauren Drake, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 400 Tenney Ave Ste 114, Amherst, Ohio |
| Authorized Official Name and Position | Lauren Drake (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 4192395744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Drake, Llc 716 S Main St Amherst OH 44001-2116 Ph: (419) 239-5744 | Lauren Drake, Llc 400 Tenney Ave Ste 114 Amherst OH 44001-2268 Ph: (567) 623-9049 |
| NPI Number | 1821618901 |
|---|---|
| Provider Enumeration Date | 04/20/2020 |
| Last Update Date | 04/22/2020 |
| Certification Date | 04/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821618901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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