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NPI Code Detail

MEDICARE: LAUREN ELIZABETH CARPENTER

MEDICARE: LAUREN ELIZABETH CARPENTER
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
1101YM0800XMental Health Counselor39005807AIN

General Provider Information

NPI Number : 1043170723
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN ELIZABETH CARPENTER
Provider Business Mailing Address
First Line : 2133 CASS ST
Second Line :
City : FORT WAYNE
State : IN
Zip : 46808-2442
Country : US
Telephone Number : 260-443-5883
Fax Number :
Provider Business Practice Location Address
First Line : 1910 SAINT JOE CENTER RD STE 23
Second Line :
City : FORT WAYNE
State : IN
Zip : 46825-5000
Country : US
Telephone Number : 260-443-5883
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2025
Last Update Date : 12/10/2025

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Directions to “ LAUREN ELIZABETH CARPENTER ” Practice Location

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