Provider Demographics
NPI:1912675166
Name:CONNORS, LAUREN RENEE (TCM, MFT INTERN)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:RENEE
Last Name:CONNORS
Suffix:
Gender:F
Credentials:TCM, MFT INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 CHRISTOPHER DR
Mailing Address - Street 2:
Mailing Address - City:NICHOLASVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40356-1258
Mailing Address - Country:US
Mailing Address - Phone:859-536-8725
Mailing Address - Fax:
Practice Address - Street 1:3167 CUSTER DR STE 101
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40517-4018
Practice Address - Country:US
Practice Address - Phone:859-536-8725
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-02
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist