Provider Demographics
NPI:1659642056
Name:SPARER, LAUREN ELIZABETH (LMHC, LMFT)
Entity Type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:ELIZABETH
Last Name:SPARER
Suffix:
Gender:F
Credentials:LMHC, LMFT
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:PEARLMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC, LMFT
Mailing Address - Street 1:100 E SYBELIA AVE
Mailing Address - Street 2:SUTIE 380
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-4763
Mailing Address - Country:US
Mailing Address - Phone:407-625-8786
Mailing Address - Fax:
Practice Address - Street 1:100 E SYBELIA AVE
Practice Address - Street 2:SUITE 380
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-4763
Practice Address - Country:US
Practice Address - Phone:407-625-8786
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-18
Last Update Date:2017-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH12430101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health