MEDICARE: LAUREN BRAY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	0701014799	VA

General Provider Information

NPI Number	:	1710625595
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN BRAY

Provider Business Mailing Address
First Line	:	106 S FRANKLIN ST STE B5
Second Line	:
City	:	CHRISTIANSBURG
State	:	VA
Zip	:	24073-3547
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	106 S FRANKLIN ST STE B5
Second Line	:
City	:	CHRISTIANSBURG
State	:	VA
Zip	:	24073-3547
Country	:	US
Telephone Number	:	540-320-7973
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2022
Last Update Date	:	07/16/2025

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