Provider Demographics
NPI:1932545290
Name:LAURENT, MARIE LOURDES (MHS-C, BSC, ERMT)
Entity type:Individual
Prefix:MS
First Name:MARIE
Middle Name:LOURDES
Last Name:LAURENT
Suffix:
Gender:F
Credentials:MHS-C, BSC, ERMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:833 N PARK RD STE 200
Mailing Address - Street 2:
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-1341
Mailing Address - Country:US
Mailing Address - Phone:610-670-8800
Mailing Address - Fax:610-670-9800
Practice Address - Street 1:833 N PARK RD STE 200
Practice Address - Street 2:
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-1341
Practice Address - Country:US
Practice Address - Phone:610-670-8800
Practice Address - Fax:610-670-9800
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-14
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health