Provider Demographics
NPI:1518769793
Name:CALLAHAN, LAUREN JEAN (MA, LGPC)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:JEAN
Last Name:CALLAHAN
Suffix:
Gender:F
Credentials:MA, LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9420 KEY WEST AVE STE 430
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-6371
Mailing Address - Country:US
Mailing Address - Phone:301-579-0089
Mailing Address - Fax:
Practice Address - Street 1:9420 KEY WEST AVE STE 430
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-6371
Practice Address - Country:US
Practice Address - Phone:301-579-0089
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP15901101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health