Healthcare Provider Details

I. General information

NPI: 1922903996
Provider Name (Legal Business Name): LAUREN SHABBIR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2026
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 ROBINSON ST
POTTSTOWN PA
19464-6421
US

IV. Provider business mailing address

606 MADISON CT
GILBERTSVILLE PA
19525-7602
US

V. Phone/Fax

Practice location:
  • Phone: 484-941-0500
  • Fax:
Mailing address:
  • Phone: 610-724-9179
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: