Provider Demographics
NPI:1548660392
Name:LAUFER, ELENA (MED, CRC, CVE)
Entity type:Individual
Prefix:MS
First Name:ELENA
Middle Name:
Last Name:LAUFER
Suffix:
Gender:F
Credentials:MED, CRC, CVE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3110 COBBLESTONE DR
Mailing Address - Street 2:
Mailing Address - City:PACE
Mailing Address - State:FL
Mailing Address - Zip Code:32571-8404
Mailing Address - Country:US
Mailing Address - Phone:850-516-8689
Mailing Address - Fax:850-995-0403
Practice Address - Street 1:2711 W. 15TH STREET
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32401
Practice Address - Country:US
Practice Address - Phone:850-769-6001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-29
Last Update Date:2014-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional