Healthcare Provider Details

I. General information

NPI: 1396344040
Provider Name (Legal Business Name): LAUREN LENTER GELLER MS, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2020
Last Update Date: 12/05/2024
Certification Date: 12/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6919 SW 18TH ST STE 201
BOCA RATON FL
33433-7010
US

IV. Provider business mailing address

6919 SW 18TH ST STE 201
BOCA RATON FL
33433-7010
US

V. Phone/Fax

Practice location:
  • Phone: 561-571-1557
  • Fax:
Mailing address:
  • Phone: 561-571-1557
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number18404
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: