Provider Demographics
NPI:1497085401
Name:LASANTE, LAUREN ANN (LMHC, LADC)
Entity Type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:ANN
Last Name:LASANTE
Suffix:
Gender:F
Credentials:LMHC, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:162 NORTH MAIN ST BOX 5
Mailing Address - Street 2:
Mailing Address - City:RUTLAND
Mailing Address - State:VT
Mailing Address - Zip Code:05701
Mailing Address - Country:US
Mailing Address - Phone:802-776-8956
Mailing Address - Fax:802-776-8940
Practice Address - Street 1:198 N MAIN ST STE C-5
Practice Address - Street 2:
Practice Address - City:RUTLAND
Practice Address - State:VT
Practice Address - Zip Code:05701
Practice Address - Country:US
Practice Address - Phone:802-772-4675
Practice Address - Fax:802-610-1060
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-14
Last Update Date:2018-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0680047526101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health