Provider Demographics
NPI:1396344040
Name:GELLER, LAUREN LENTER (MS, LMHC)
Entity type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:LENTER
Last Name:GELLER
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6919 SW 18TH ST STE 201
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-7010
Mailing Address - Country:US
Mailing Address - Phone:561-571-1557
Mailing Address - Fax:
Practice Address - Street 1:6919 SW 18TH ST STE 201
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-7010
Practice Address - Country:US
Practice Address - Phone:561-571-1557
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-23
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL18404101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty