Healthcare Provider Details

I. General information

NPI: 1881539708
Provider Name (Legal Business Name): LAUREN SAWYER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2378 WINDMILL WAY
MYRTLE BEACH SC
29579-3230
US

IV. Provider business mailing address

2378 WINDMILL WAY
MYRTLE BEACH SC
29579-3230
US

V. Phone/Fax

Practice location:
  • Phone: 843-267-4220
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number8837
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: