Provider Demographics
NPI:1710498951
Name:ROEBUCK, LAUREN ELISE (LPCC)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:ELISE
Last Name:ROEBUCK
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:177 W EXCHANGE ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44302-1706
Mailing Address - Country:US
Mailing Address - Phone:330-543-7475
Mailing Address - Fax:330-543-5276
Practice Address - Street 1:177 W EXCHANGE ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44302-1706
Practice Address - Country:US
Practice Address - Phone:330-543-7475
Practice Address - Fax:330-543-5276
Is Sole Proprietor?:No
Enumeration Date:2017-10-16
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.2404184101YP2500X
OHC.1800876101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional