Provider Demographics
NPI:1467776799
Name:GARBY, LAUREN JOY (LAC)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:JOY
Last Name:GARBY
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:916 W LONE STAR TRL
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86005-6989
Mailing Address - Country:US
Mailing Address - Phone:480-772-5647
Mailing Address - Fax:
Practice Address - Street 1:2400 N CENTRAL AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85004-1341
Practice Address - Country:US
Practice Address - Phone:602-264-9891
Practice Address - Fax:602-234-2639
Is Sole Proprietor?:No
Enumeration Date:2010-03-15
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health