Healthcare Provider Details

I. General information

NPI: 1649480799
Provider Name (Legal Business Name): LAUREN A GEIER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 04/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 HOSPITAL DR
MORRILTON AR
72110-4510
US

IV. Provider business mailing address

8 HOSPITAL DR
MORRILTON AR
72110-4510
US

V. Phone/Fax

Practice location:
  • Phone: 501-354-1561
  • Fax: 501-354-1564
Mailing address:
  • Phone: 501-354-1561
  • Fax: 501-354-1564

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberP1103019
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAPC001082
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: