Holder, Lauren A

Holder, Lauren A is an individual health care provider with primary practice located at 100 Eastside Dr , Georgetown KY 40324-9797. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Holder, Lauren A can be contacted via phone (640) 529-2876.

Contact Information

Primary practice address
100 Eastside Dr Georgetown KY 40324-9797
Phone: (640) 529-2876
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 258582 Kentucky
Behavioral Health & Social Service Providers / Clinical 1041C0700X 258582 Kentucky
Behavioral Health & Social Service Providers / Social Worker 104100000X Kentucky

Profile Details

NPI number 1174191258
LBN Legal business name Holder, Lauren A
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2021
Last updated Jun 28th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174191258 NPPES
Kentucky MEDICAID 1790731081

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