Individual provider · Type 1 NPI
Lauren Broadwell, LAC
Mental Health Counselor · Maplewood, NJ
NPI number
1215810197
Active
Practice location
60 Union Ave
Maplewood, NJ 07040-1516
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 37AC00895100 (NJ) |
Mental Health Counselor: Definition to come...
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About NPI 1215810197
Lauren Broadwell, LAC's National Provider Identifier is 1215810197, issued on Jul 29, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Maplewood, NJ. The record was last updated on Jul 29, 2025.