Healthcare Provider Details

I. General information

NPI: 1942601745
Provider Name (Legal Business Name): LAUREN EARLY LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2014
Last Update Date: 01/10/2023
Certification Date: 01/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2707 BRECKENRIDGE ST STE 4
OWENSBORO KY
42303-1385
US

IV. Provider business mailing address

2707 BRECKENRIDGE ST STE 4
OWENSBORO KY
42303-1385
US

V. Phone/Fax

Practice location:
  • Phone: 270-215-4000
  • Fax:
Mailing address:
  • Phone: 270-215-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number171758
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number171758
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: