Provider Demographics
NPI:1164202024
Name:METAYER, LAUREN B (LMFT)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:B
Last Name:METAYER
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 1:1335 HERRINGTON RD APT 2424
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-6417
Mailing Address - Country:US
Mailing Address - Phone:404-333-2447
Mailing Address - Fax:
Practice Address - Street 1:175 LANGLEY DR STE 2
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-6929
Practice Address - Country:US
Practice Address - Phone:678-882-7924
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-29
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMFT002057106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist