LAUREN FORTMAN MA LADC LPCC NPI 1811366891

NPI Information

NPI: 1811366891
Provider Name: LAUREN FORTMAN, MA, LADC, LPCC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
13100 WAYZATA BLVD STE 200
MINNETONKA, MN
ZIP 55305
Phone: (952) 206-2040
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Lauren Fortman, MA, LADC, LPCC is a professional counselor in Minnetonka, MN. Lauren Fortman, MA, LADC, LPCC NPI is 1811366891. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13100 WAYZATA BLVD STE 200
MINNETONKA, MN
ZIP 55305-810
Phone: (952) 206-2040
Fax: (952) 206-2041

The NPI 1811366891 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 9/18/2015 and was last updated on 4/1/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	304231	MINNESOTA	No
2	101YP2500X	Counselor	Professional	1934	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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