Provider Demographics
NPI:1407140692
Name:STONE, LAUREN STALEY (LCMHC, LCAS)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:STALEY
Last Name:STONE
Suffix:
Gender:F
Credentials:LCMHC, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 DAR DRIVE
Mailing Address - Street 2:
Mailing Address - City:CROSSNORE
Mailing Address - State:NC
Mailing Address - Zip Code:28616
Mailing Address - Country:US
Mailing Address - Phone:828-733-4305
Mailing Address - Fax:
Practice Address - Street 1:100 DAR DRIVE
Practice Address - Street 2:
Practice Address - City:CROSSNORE
Practice Address - State:NC
Practice Address - Zip Code:28616
Practice Address - Country:US
Practice Address - Phone:828-387-5460
Practice Address - Fax:336-728-4355
Is Sole Proprietor?:No
Enumeration Date:2011-06-05
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-23801101YA0400X
NCA8830101YP2500X
NC10157101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)