Provider Demographics
NPI:1902992662
Name:LAZARUS, IRENE SHEINER (LMFT)
Entity Type:Individual
Prefix:DR
First Name:IRENE
Middle Name:SHEINER
Last Name:LAZARUS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 GREEN WILLOW COURT
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-5211
Mailing Address - Country:US
Mailing Address - Phone:919-593-2889
Mailing Address - Fax:919-493-6921
Practice Address - Street 1:1829 EAST FRANKLIN STREET, SUITE 100D
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514
Practice Address - Country:US
Practice Address - Phone:919-990-2444
Practice Address - Fax:919-493-6921
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC807106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1311EOtherBCBS