Healthcare Provider Details

I. General information

NPI: 1477480051
Provider Name (Legal Business Name): LAUREN PERDUE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 NORTHWOODS BLVD
COLUMBUS OH
43235-4719
US

IV. Provider business mailing address

90 NORTHWOODS BLVD
COLUMBUS OH
43235-4719
US

V. Phone/Fax

Practice location:
  • Phone: 614-805-7430
  • Fax:
Mailing address:
  • Phone: 614-805-7430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC.2507330
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: