Lauren Bailey Herd
Counselor in Phoenix, AZ. Individual provider (NPI-1).
NPI number1639782824
StatusActive
Last updated in NPPESAug 26, 2020
Details
- NPI
- 1639782824
- Entity type
- Individual (NPI-1)
- Name
- Lauren Bailey Herd
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 26, 2020
- Certification date
- Aug 25, 2020
- Last updated
- Aug 26, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
| 101YP2500X | Counselor, Professional | – | – |
Practice location
45 E Monterey WayPhoenix, AZ 85012-2753
Phone 480-641-1165
Mailing address
45 E Monterey WayPhoenix, AZ 85012-2753
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