MRS. LAUREN BROOKE WILLIS


Address: 537 N Broad St, Woodbury, NJ 08096-1603
Phone: 8566865500

MRS. LAUREN BROOKE WILLIS (NPI# 1649766460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649766460
Entity Type Individual
Full Name MRS. LAUREN BROOKE WILLIS
Credential LCADC
Practice Address 537 N Broad St
Woodbury
NJ 08096-1603
Mailing Address 235 Syracuse Ave
Wenonah
NJ 08090-1049
Practice Telephone 8566865500
Mailing Telephone 2672656357
Enumeration Date 2018-07-04
Last Update Date 2018-07-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
37LC00271900 NJ Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NJ LCADC 37LC00271900 01

Other Providers LAUREN WILLIS

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Office Location

Street Address 537 N BROAD ST
City WOODBURY
State NJ
Zip Code 08096-1603

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780226043 Assoc. for Retarded Citizens, Inc. Gloucester County Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1460 Cooper Street, Deptford, NJ 08096 2019-10-08
1730652058 Robert Crawford Counseling & Consultation, LLC Counselor Robert Crawford Counseling & Consultation, LLC, 44 Cooper Street, Suite 208, Woodbury, NJ 08096 2019-01-09
1902381171 Services To Overcome Drug Abuse Among Teenagers, Inc. Clinic/Center 124 N Broad Street, Woodbury, NJ 08096 2018-10-03
1225518715 Michael West Pharmacist 631 West Mantua Ave, Woodbury, NJ 08096 2018-08-15
1053807891 Standing Ground Counseling, LLC Clinic/Center 44 Cooper Street, Suite 104, Woodbury, NJ 08096 2018-07-05
1376054536 Assoc. for Retarded Citizens, Inc. Gloucester County Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 40 Hessian Avenue, Woodbury, NJ 08096 2017-10-16
1881105021 Assoc. for Retarded Citizens, Inc. Gloucester County Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1154 Bennett Drive, Deptford, NJ 08096 2017-10-16
1215448469 Assoc. for Retarded Citizens, Inc. Gloucester County Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 7 North Evergreen Avenue, Woodbury, NJ 08096 2017-10-16
1801307137 Assoc. for Retarded Citizens, Inc. Gloucester County Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 6 North Drexel Street, Woodbury, NJ 08096 2017-10-13
1295253847 Sara Alven Social Worker 1 Lupton Avenue, Woodbury, NJ 08096 2017-09-05
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306474036 Natasha Marie Gunderson Counselor 6043 Hudson Rd Ste 200, Woodbury, MN 55125-1019 2020-03-30
1275195794 Judy A Powell Counselor 570 Settlers Ridge Pkwy Unit C204, Woodbury, MN 55129-7519 2019-07-04
1902392459 Transform Within Wellness Center, LLC Counselor 700 Commerce Dr Ste 295, Woodbury, MN 55125-9245 2018-07-09
1053797530 Amanda Rose Hernandez Counselor 652 Bielenberg Dr Ste 104, Woodbury, MN 55125-4419 2015-08-06
1043651052 Crossroads Counseling Services LLC Counselor 6053 Hudson Rd Ste 192, Woodbury, MN 55125-1015 2013-07-08
1730528142 Elizabeth Joette Rolfes Counselor 7700 Hudson Rd Ste 600, Woodbury, MN 55125-1469 2013-06-19
1821338765 Annette Pullen Counselor 1687 Woodlane Dr Ste 213, Woodbury, MN 55125-3047 2013-02-28
1982886503 Kelly Renee Volkmann Counselor 700 Commerce Drive, Suite 295, Woodbury, MN 55125 2007-12-05
1225191893 Haven Chemical Health Systems, LLC Counselor 2042 Wooddale Dr, Suite #220, Woodbury, MN 55125-2981 2006-12-18
1982703997 Carolyn Carrano Counselor 8243 Jericho Tpke, Suite 230, Woodbury, NY 11797-1887 2006-09-22
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Competitor

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City WOODBURY
Zip Code 08096

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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