Provider Demographics
NPI:1831074681
Name:GOMOLA, LAUREN (LPCA)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:GOMOLA
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 LYRICAL LN
Mailing Address - Street 2:
Mailing Address - City:SANDY HOOK
Mailing Address - State:CT
Mailing Address - Zip Code:06482-1614
Mailing Address - Country:US
Mailing Address - Phone:203-209-5135
Mailing Address - Fax:
Practice Address - Street 1:26 LYRICAL LN
Practice Address - Street 2:
Practice Address - City:SANDY HOOK
Practice Address - State:CT
Practice Address - Zip Code:06482-1614
Practice Address - Country:US
Practice Address - Phone:203-209-5135
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT8691101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health