MEDICARE: LAUREN CLEM OLSHTEIN CMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	IMH22512	FL

General Provider Information

NPI Number	:	1013761840
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN CLEM OLSHTEIN CMHC

Provider Business Mailing Address
First Line	:	1920 PALM BEACH LAKES BLVD STE 211
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-3506
Country	:	US
Telephone Number	:	561-721-6400
Fax Number	:

Provider Business Practice Location Address
First Line	:	3263 DUNNING DR
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-8317
Country	:	US
Telephone Number	:	561-788-2099
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2024
Last Update Date	:	04/17/2024

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