Provider Demographics
NPI:1700383965
Name:WATKINS, LAUREN (M ED LPC)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:WATKINS
Suffix:
Gender:F
Credentials:M ED LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:860 HILL ST
Mailing Address - Street 2:
Mailing Address - City:BELLEFONTE
Mailing Address - State:PA
Mailing Address - Zip Code:16823-2747
Mailing Address - Country:US
Mailing Address - Phone:814-934-1579
Mailing Address - Fax:
Practice Address - Street 1:320 ROLLING RIDGE DR STE 100
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16801-7641
Practice Address - Country:US
Practice Address - Phone:148-670-6708
Practice Address - Fax:814-867-7616
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-12
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC010272101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional