Healthcare Provider Details

I. General information

NPI: 1659893097
Provider Name (Legal Business Name): LAUREN LUX LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MANNING DR RM CG398
CHAPEL HILL NC
27514-4220
US

IV. Provider business mailing address

101 MANNING DR. ROOM CG398, CAMPUS BOX 7218
CHAPEL HILL NC
27599
US

V. Phone/Fax

Practice location:
  • Phone: 984-974-8686
  • Fax:
Mailing address:
  • Phone: 984-974-8686
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCOO7232
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: