Provider Demographics
NPI:1841561586
Name:EGLESTON, LAUREN WRIGHT (CRC, LPC, LCAS)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:WRIGHT
Last Name:EGLESTON
Suffix:
Gender:F
Credentials:CRC, LPC, LCAS
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:ELIZABETH
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRC, LPC, LCAS
Mailing Address - Street 1:1517 LANDIS AVE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28205-3535
Mailing Address - Country:US
Mailing Address - Phone:336-403-4181
Mailing Address - Fax:844-840-3193
Practice Address - Street 1:1212 MANN DR STE 100
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-5511
Practice Address - Country:US
Practice Address - Phone:704-659-6861
Practice Address - Fax:844-840-3193
Is Sole Proprietor?:No
Enumeration Date:2012-01-25
Last Update Date:2018-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1515101YA0400X
NC7514101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)