Provider / Organization | NPI | Date Certified |
---|---|---|
LAUREN VAN WIE | 1588247126 | 2021-05-02 |
Lauren Van Wie is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1588247126. Registration indicates Lauren Van Wie is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Behavioral Analyst (Behavioral Health & Social Service Providers, Behavioral Analyst) (Behavioral Analyst, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Behavioral Analyst, Behavioral Health & Social Service Providers)
Entity Type | Individual |
Provider Name | Lauren Van Wie MS BCBA |
Practice Office Address | 1706 MILL POND RD STE B CONWAY, SC US |
Practice Office Telephone | 8434889009 |
Mailing Address | 2131 EDDY RD CONWAY, SC 295268186 US |
Business Telephone | 8485253517 |
Code | Practice | License No State |
---|---|---|
103K00000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Behavioral Analyst Behavioral Health & Social Service Providers Behavioral Analyst Behavioral Analyst Behavioral Health/Substance Abuse/Psychiatry Behavioral Analyst Behavioral Health & Social Service Providers | 1-21-47983
SC |