Healthcare Provider Details

I. General information

NPI: 1235544990
Provider Name (Legal Business Name): LAUREN LENAHAN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2014
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1219 NW FRESNO AVE
BEND OR
97703-3035
US

IV. Provider business mailing address

1219 NW FRESNO AVE
BEND OR
97703-3035
US

V. Phone/Fax

Practice location:
  • Phone: 541-210-4603
  • Fax:
Mailing address:
  • Phone: 541-210-4603
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC7403
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: