Provider Demographics
NPI:1174025878
Name:DAY, LAUREN E (LPC-S, CEDS-S)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:E
Last Name:DAY
Suffix:
Gender:F
Credentials:LPC-S, CEDS-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33118 N 26TH LN
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85085-8916
Mailing Address - Country:US
Mailing Address - Phone:806-928-6556
Mailing Address - Fax:
Practice Address - Street 1:2525 W CAREFREE HWY STE 102
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85085-9302
Practice Address - Country:US
Practice Address - Phone:623-432-8066
Practice Address - Fax:623-200-4356
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-08
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70626101YP2500X
AZ16516101YP2500X
AZLPC-16516101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional