Provider Demographics
NPI:1023875119
Name:HAIMES, LAUREN BYCOFF
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:BYCOFF
Last Name:HAIMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 WOODLAND DR
Mailing Address - Street 2:
Mailing Address - City:RYE BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:10573-1722
Mailing Address - Country:US
Mailing Address - Phone:646-872-0882
Mailing Address - Fax:
Practice Address - Street 1:2975 WESTCHESTER AVE STE 308
Practice Address - Street 2:
Practice Address - City:PURCHASE
Practice Address - State:NY
Practice Address - Zip Code:10577-2580
Practice Address - Country:US
Practice Address - Phone:914-358-9927
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP123333101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health