Healthcare Provider Details

I. General information

NPI: 1033943741
Provider Name (Legal Business Name): LAUREN ELIZABETH COLES MA, APCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2024
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10559 JEFFERSON BLVD STE AD&E
CULVER CITY CA
90232-3526
US

IV. Provider business mailing address

10549 JEFFERSON BLVD
CULVER CITY CA
90232-3513
US

V. Phone/Fax

Practice location:
  • Phone: 310-785-2121
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAPCC21489
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: