Provider Demographics
NPI:1700259140
Name:JOSEPHS, LAUREN L (PHD)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:L
Last Name:JOSEPHS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1221 W COLONIAL DR
Mailing Address - Street 2:STE. 202
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-7163
Mailing Address - Country:US
Mailing Address - Phone:407-896-2066
Mailing Address - Fax:888-587-1421
Practice Address - Street 1:1221 W COLONIAL DR
Practice Address - Street 2:STE. 202
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-7163
Practice Address - Country:US
Practice Address - Phone:407-896-2066
Practice Address - Fax:888-587-1421
Is Sole Proprietor?:No
Enumeration Date:2015-11-06
Last Update Date:2015-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH-6078101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health