Provider Demographics
NPI:1245573047
Name:HAHN, LAUREN ANNE (LMFT)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:ANNE
Last Name:HAHN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 W SOUTH BLVD
Mailing Address - Street 2:SUITE, # 200
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48085-1611
Mailing Address - Country:US
Mailing Address - Phone:800-693-1916
Mailing Address - Fax:
Practice Address - Street 1:89 W SOUTH BLVD
Practice Address - Street 2:SUITE, # 200
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48085-1611
Practice Address - Country:US
Practice Address - Phone:800-693-1916
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-29
Last Update Date:2015-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4101006560106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist