Healthcare Provider Details

I. General information

NPI: 1134933666
Provider Name (Legal Business Name): LAUREN ANN DEBIEC LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/05/2025
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2247 JEFFERSON AVE
READING PA
19609-2326
US

IV. Provider business mailing address

PO BOX 56043
NEW ORLEANS LA
70156-6043
US

V. Phone/Fax

Practice location:
  • Phone: 610-914-9219
  • Fax: 484-231-9540
Mailing address:
  • Phone: 610-914-9219
  • Fax: 484-231-9540

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC-1092-0
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: