Healthcare Provider Details

I. General information

NPI: 1538036488
Provider Name (Legal Business Name): LAUREN ENOS M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2025
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13935 OLD COAST RD UNIT 1505
NAPLES FL
34110-8784
US

IV. Provider business mailing address

13935 OLD COAST RD UNIT 1505
NAPLES FL
34110-8784
US

V. Phone/Fax

Practice location:
  • Phone: 724-433-3817
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2202012191
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA23630
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: