Provider Demographics
NPI:1326702242
Name:SCHRAMM, LAURA MARIE (LPC)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:MARIE
Last Name:SCHRAMM
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10333 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-4650
Mailing Address - Country:US
Mailing Address - Phone:708-717-9553
Mailing Address - Fax:
Practice Address - Street 1:20646 ABBEY WOODS CT N STE 205
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:IL
Practice Address - Zip Code:60423-3177
Practice Address - Country:US
Practice Address - Phone:815-464-8210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-27
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178017083101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health