Provider Demographics
NPI:1013725423
Name:GIVENS, LAUREN MARLENA (CRC, NCC)
Entity type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:MARLENA
Last Name:GIVENS
Suffix:
Gender:F
Credentials:CRC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 BROGDON RD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-3832
Mailing Address - Country:US
Mailing Address - Phone:984-255-4841
Mailing Address - Fax:
Practice Address - Street 1:144 BROGDON RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-3832
Practice Address - Country:US
Practice Address - Phone:984-255-4841
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-19
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor