Provider Demographics
NPI:1144840760
Name:LAURENS LESSONS LLC
Entity type:Organization
Organization Name:LAURENS LESSONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LAUREN LEAK
Authorized Official - Middle Name:HARPER
Authorized Official - Last Name:LEAK
Authorized Official - Suffix:
Authorized Official - Credentials:LPLC/PS
Authorized Official - Phone:704-402-4268
Mailing Address - Street 1:10601 HUNTERSVILLE CMNS DR APT O
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-6145
Mailing Address - Country:US
Mailing Address - Phone:704-402-4962
Mailing Address - Fax:
Practice Address - Street 1:10601 HUNTERSVILLE CMNS DR APT O
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-6145
Practice Address - Country:US
Practice Address - Phone:704-402-4962
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-23
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty