MEDICARE: LAUREN SERPE

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	LCAS-22306	NC
2	101YM0800X	Mental Health Counselor	12458	NC
3	101YP2500X	Professional Counselor	12458	NC

General Provider Information

NPI Number	:	1154785889
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN SERPE

Provider Business Mailing Address
First Line	:	126 SIXTH AVE S
Second Line	:
City	:	KURE BEACH
State	:	NC
Zip	:	28449-3823
Country	:	US
Telephone Number	:	919-434-3941
Fax Number	:	910-343-4227

Provider Business Practice Location Address
First Line	:	2512 INDEPENDENCE BLVD STE 100
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28412-0019
Country	:	US
Telephone Number	:	910-834-7008
Fax Number	:

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

Provider Enumeration Date	:	04/08/2016
Last Update Date	:	07/22/2025

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Directions to “ LAUREN SERPE ” Practice Location

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