Healthcare Provider Details

I. General information

NPI: 1770497083
Provider Name (Legal Business Name): LAUREN PALLADINI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LAUREN COATES

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

370 WYTHE CREEK RD STE C
POQUOSON VA
23662-1926
US

IV. Provider business mailing address

706 ANTRIM DR
NEWPORT NEWS VA
23601-2931
US

V. Phone/Fax

Practice location:
  • Phone: 757-868-0072
  • Fax:
Mailing address:
  • Phone: 757-759-9632
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: