Provider Demographics
NPI:1396211207
Name:RANEY, LAUREN WOZNIAK (LCPC, ATR)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:WOZNIAK
Last Name:RANEY
Suffix:
Gender:F
Credentials:LCPC, ATR
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:M
Other - Last Name:WOZNIAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10S180 HAVENS DR
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60516-5164
Mailing Address - Country:US
Mailing Address - Phone:630-743-1990
Mailing Address - Fax:
Practice Address - Street 1:10S180 HAVENS DR
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60516-5164
Practice Address - Country:US
Practice Address - Phone:630-743-1990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-17
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.013088101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional