Provider Demographics
NPI:1225468846
Name:LAPORTE, LAUREN (EDD, LPCC, LCPC, NCC)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:LAPORTE
Suffix:
Gender:F
Credentials:EDD, LPCC, LCPC, NCC
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:LAPORTE
Other - Last Name:SOMERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:720 S EASTWOOD DR # 292
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:IL
Mailing Address - Zip Code:60098-4635
Mailing Address - Country:US
Mailing Address - Phone:415-547-9992
Mailing Address - Fax:
Practice Address - Street 1:1 E NORTHWEST HWY
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067
Practice Address - Country:US
Practice Address - Phone:415-547-9992
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-18
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA366101YP2500X
IL180010441101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional