Healthcare Provider Details

I. General information

NPI: 1497301980
Provider Name (Legal Business Name): LAUREN ELIZABETH MCCOY M.S.ED., NCC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAUREN ELIZABETH MCMANUS M.S.ED., NCC, LPC

II. Dates (important events)

Enumeration Date: 08/12/2019
Last Update Date: 08/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1607 3RD ST
BEAVER PA
15009-2420
US

IV. Provider business mailing address

324 VILLAGE DR
MARS PA
16046-4812
US

V. Phone/Fax

Practice location:
  • Phone: 724-728-8411
  • Fax:
Mailing address:
  • Phone: 412-260-4017
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC009040
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number4201685
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: