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Provider Information for 1467776799


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LAUREN JOY GARBY L.A.C.


Sex: Female

NPI: 1467776799
Last Updated: 2023-01-23
Certification Date: 2023-01-23

Details

NameValue
NPI1467776799
Enumeration Date2010-03-15
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 916 W LONE STAR TRL
FLAGSTAFF, AZ 86005-6989
United States

Phone: 480-772-5647 | Fax:
 
Primary Practice Address 2400 N CENTRAL AVE
SUITE 400
PHOENIX, AZ 85004-1341
United States

Phone: 602-264-9891 | Fax:602-234-2639
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YM0800X - Counselor - Mental Health
Yes 101YP2500X - Counselor - Professional