Provider Demographics
NPI:1205448453
Name:PERKINS, LAUREN (SOCIAL WORK TRAINEE)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:PERKINS
Suffix:
Gender:F
Credentials:SOCIAL WORK TRAINEE
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:BAYS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3645 RIDGE MILL DR
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-7752
Mailing Address - Country:US
Mailing Address - Phone:787-661-4457
Mailing Address - Fax:789-661-4457
Practice Address - Street 1:3645 RIDGE MILL DR
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-7752
Practice Address - Country:US
Practice Address - Phone:787-661-4457
Practice Address - Fax:789-661-4457
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-19
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool