Provider Demographics
NPI:1366675167
Name:STRINE, LAUREN HENDERSON (LMFT)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:HENDERSON
Last Name:STRINE
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 1:1240 CLAIRMONT RD STE 206
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-1254
Mailing Address - Country:US
Mailing Address - Phone:626-437-1154
Mailing Address - Fax:
Practice Address - Street 1:1240 CLAIRMONT RD STE 206
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-1254
Practice Address - Country:US
Practice Address - Phone:626-437-1154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-26
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA66893106H00000X
GAMFT001447106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist