Healthcare Provider Details

I. General information

NPI: 1144759838
Provider Name (Legal Business Name): PAUL THOMAS LAUER LPCC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2017
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8605 NORTH DIXIE DRIVE SUITE B
DAYTON OH
45414
US

IV. Provider business mailing address

8605 NORTH DIXIE DRIVE SUITE B
DAYTON OH
45414
US

V. Phone/Fax

Practice location:
  • Phone: 937-913-0722
  • Fax: 937-741-4912
Mailing address:
  • Phone: 937-913-0722
  • Fax: 937-741-4912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC1700361
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: