Provider Demographics
NPI:1477179117
Name:SACS, LAUREN HOPE (MA LPC)
Entity Type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:HOPE
Last Name:SACS
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 1:349 HERITAGE DR
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-6011
Mailing Address - Country:US
Mailing Address - Phone:732-245-5444
Mailing Address - Fax:
Practice Address - Street 1:349 HERITAGE DR
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08723-6011
Practice Address - Country:US
Practice Address - Phone:732-245-5444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-18
Last Update Date:2022-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00814300101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional