Provider Demographics
NPI:1245573971
Name:HALL, LAUREN EMERSON (MA, LPC)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:EMERSON
Last Name:HALL
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 E DUNDEE RD
Mailing Address - Street 2:SUITE 11
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60074-2806
Mailing Address - Country:US
Mailing Address - Phone:847-641-0410
Mailing Address - Fax:
Practice Address - Street 1:201 E DUNDEE RD
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60074-2806
Practice Address - Country:US
Practice Address - Phone:847-641-0410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-01
Last Update Date:2013-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.008902101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health