Healthcare Provider Details

I. General information

NPI: 1992577068
Provider Name (Legal Business Name): LAUREN E MEARS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2023
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5360 DISCOVERY PARK BLVD STE 201
WILLIAMSBURG VA
23188-2860
US

IV. Provider business mailing address

5360 DISCOVERY PARK BLVD STE 201
WILLIAMSBURG VA
23188-2860
US

V. Phone/Fax

Practice location:
  • Phone: 844-863-4621
  • Fax: 752-952-2654
Mailing address:
  • Phone: 844-863-4621
  • Fax: 752-952-2654

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701012920
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: