Healthcare Provider Details

I. General information

NPI: 1386325991
Provider Name (Legal Business Name): LAUREN POIROUX HARVEY MS, ALC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2023
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3929 AIRPORT BLVD STE 2-104
MOBILE AL
36609-2237
US

IV. Provider business mailing address

704 MANDRELL ST
MOBILE AL
36606-4544
US

V. Phone/Fax

Practice location:
  • Phone: 251-384-2382
  • Fax: 251-650-1736
Mailing address:
  • Phone: 251-421-2812
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number5662
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: