Provider Demographics
NPI:1104393222
Name:ARES, LAUREN DIANE (LMFT)
Entity Type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:DIANE
Last Name:ARES
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 BROAD ST FL 3
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10004-3342
Mailing Address - Country:US
Mailing Address - Phone:267-587-6369
Mailing Address - Fax:
Practice Address - Street 1:90 BROAD ST FL 90BROAD3
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10004-2205
Practice Address - Country:US
Practice Address - Phone:267-587-6369
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-26
Last Update Date:2018-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001395-1106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty