Provider Demographics
NPI:1376814343
Name:BIEHLE, LAUREN B
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:B
Last Name:BIEHLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:672A STONEHOUSE DR
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-3601
Mailing Address - Country:US
Mailing Address - Phone:559-679-8601
Mailing Address - Fax:
Practice Address - Street 1:144 SOUTH E STREET
Practice Address - Street 2:BUCKELEW PROGRAMS #200
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95404
Practice Address - Country:US
Practice Address - Phone:415-457-6964
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-23
Last Update Date:2012-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health