Provider Demographics
NPI:1467065359
Name:GERRISH, LAUREN E (LMHC)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:E
Last Name:GERRISH
Suffix:
Gender:F
Credentials:LMHC
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:BAVOY MENTAL HEALTH COUNSELING, PLLC
Mailing Address - Street 2:466 E. MAIN STREET
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-2516
Mailing Address - Country:US
Mailing Address - Phone:845-843-6400
Mailing Address - Fax:845-421-6804
Practice Address - Street 1:BAVOY MENTAL HEALTH COUNSELING, PLLC
Practice Address - Street 2:466 E. MAIN STREET
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-2516
Practice Address - Country:US
Practice Address - Phone:845-843-6400
Practice Address - Fax:845-421-6804
Is Sole Proprietor?:No
Enumeration Date:2020-08-28
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY009641101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health