Provider Demographics
NPI:1821798885
Name:LAURA DUENING LCSW, PLLC
Entity Type:Organization
Organization Name:LAURA DUENING LCSW, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUENING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-562-7428
Mailing Address - Street 1:1360 BURR OAK RD
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60045-1215
Mailing Address - Country:US
Mailing Address - Phone:920-562-7428
Mailing Address - Fax:
Practice Address - Street 1:25 E WASHINGTON ST STE 1908
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-1877
Practice Address - Country:US
Practice Address - Phone:920-562-7428
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-08
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health