Healthcare Provider Details

I. General information

NPI: 1023921160
Provider Name (Legal Business Name): LAUREN JANUARY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 YORK RD STE 145
JAMISON PA
18929-1092
US

IV. Provider business mailing address

120 E STREET RD APT B1-2
WARMINSTER PA
18974-3407
US

V. Phone/Fax

Practice location:
  • Phone: 215-491-9900
  • Fax: 215-491-9902
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: