| Doctor Name: | LAUREN ELISABETH TANCYUS |
| NPI Number: | 1164496394 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 0904003043 |
| Business Practice Address: | 79 N Medical Park Dr Fishersville, VA - 229392344 |
| Business Phone Number: | 5402132525 |
| Business Fax Number: | 5402132502 |
| Mailing Address: | Po Box 239, FISHERSVILLE |
| State: | VA |
| Postal Code: | 229390239 |
| Phone Number: | 5409324629 |
| Fax Number: | 5409325875 |
| NPI Enumeration Date: | 02/15/2006 |
| NPI Last Update Date: | 05/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 0904003043 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |