Provider Demographics
NPI:1780025023
Name:MCGOWAN, LAUREN MICHELLE (MED, LPCC)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:MICHELLE
Last Name:MCGOWAN
Suffix:
Gender:F
Credentials:MED, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24803 DETROIT RD UNIT E
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-2553
Mailing Address - Country:US
Mailing Address - Phone:440-723-2765
Mailing Address - Fax:216-910-4678
Practice Address - Street 1:24803 DETROIT RD UNIT E
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-2553
Practice Address - Country:US
Practice Address - Phone:440-723-2765
Practice Address - Fax:216-910-4678
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-15
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0800056-SUPV101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional