Healthcare Provider Details

I. General information

NPI: 1326953415
Provider Name (Legal Business Name): LAUREN FREDERICK LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18537 1ST AVE S STE B
NORMANDY PARK WA
98148-1867
US

IV. Provider business mailing address

18537 1ST AVE S STE B
NORMANDY PARK WA
98148-1867
US

V. Phone/Fax

Practice location:
  • Phone: 206-356-7866
  • Fax:
Mailing address:
  • Phone: 206-356-7866
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: LAUREN FREDERICK
Title or Position: OWNER
Credential:
Phone: 206-356-7866