LAUREN BROADWELL LAC
NPI 1215810197
Counselor - Mental Health in Maplewood, NJ
Active since July 29, 2025
About Lauren Broadwell Lac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAUREN BROADWELL LAC (NPI 1215810197) is an individual mental health provider in Maplewood, New Jersey, licensed in New Jersey (37AC00895100) and active in the NPI registry since July 2025.
NPPES Registry Identity
NPI1215810197
Entity TypeIndividual
Primary Taxonomy101YM0800X
Provider Legal NameLAUREN BROADWELLCredential: LAC
Location Address60 UNION AVEMaplewood, NJ 07040-1516
Mailing Address60 Union AveMaplewood, NJ 07040-1516 · (908) 217-1243
Phone(908) 217-1243
Sole ProprietorNo
Enumeration DateJuly 29, 2025
NPPES CertifiedJuly 29, 2025
✔ NPI 1215810197 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NJ · 37AC00895100
60 UNION AVE, Maplewood, NJ 07040
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215810197, enumerated as an "individual" on July 29, 2025.
The provider is located at 60 UNION AVE MAPLEWOOD, NJ 07040 and the phone number is (908) 217-1243.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
