Provider Demographics
NPI:1669995569
Name:BROWN, LAUREN HENRY (LCMHC)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:HENRY
Last Name:BROWN
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 SPENO CT
Mailing Address - Street 2:
Mailing Address - City:BRATTLEBORO
Mailing Address - State:VT
Mailing Address - Zip Code:05301-6092
Mailing Address - Country:US
Mailing Address - Phone:802-579-8528
Mailing Address - Fax:
Practice Address - Street 1:25 SPENO CT
Practice Address - Street 2:
Practice Address - City:BRATTLEBORO
Practice Address - State:VT
Practice Address - Zip Code:05301-6092
Practice Address - Country:US
Practice Address - Phone:802-579-8528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT068.0122897101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health