Provider Demographics
NPI:1215358619
Name:VILAR, LAUREN MOSER (LCSW, LCAS)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:MOSER
Last Name:VILAR
Suffix:
Gender:F
Credentials:LCSW, LCAS
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:MOSER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5919 OLEANDER DR STE 121
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-4757
Mailing Address - Country:US
Mailing Address - Phone:910-210-6160
Mailing Address - Fax:910-210-2033
Practice Address - Street 1:5919 OLEANDER DR STE 121
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-4757
Practice Address - Country:US
Practice Address - Phone:910-210-6160
Practice Address - Fax:910-210-2033
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-02
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20222101YA0400X
NCC0090091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)