Provider Demographics
NPI:1114403540
Name:LAUB, ELLE (LMHC, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:ELLE
Middle Name:
Last Name:LAUB
Suffix:
Gender:F
Credentials:LMHC, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 ORR HATCH
Mailing Address - Street 2:
Mailing Address - City:CORNWALL
Mailing Address - State:NY
Mailing Address - Zip Code:12518-1727
Mailing Address - Country:US
Mailing Address - Phone:650-235-0048
Mailing Address - Fax:
Practice Address - Street 1:7 ORR HATCH
Practice Address - Street 2:
Practice Address - City:CORNWALL
Practice Address - State:NY
Practice Address - Zip Code:12518-1727
Practice Address - Country:US
Practice Address - Phone:650-235-0048
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-18
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011483101YM0800X
NY104658-01101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health