Healthcare Provider Details

I. General information

NPI: 1396524260
Provider Name (Legal Business Name): LAUREN SANDRINE HARRIS LCMHC-A, LCAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2023
Last Update Date: 02/02/2026
Certification Date: 02/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

138 DUBLIN SQUARE RD STE A
ASHEBORO NC
27203-8601
US

IV. Provider business mailing address

138 DUBLIN SQUARE RD STE A
ASHEBORO NC
27203-8601
US

V. Phone/Fax

Practice location:
  • Phone: 336-860-3262
  • Fax: 336-521-7550
Mailing address:
  • Phone: 336-860-3262
  • Fax: 336-521-7550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA19728
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: