Provider Demographics
NPI:1942815303
Name:AUER, LAUREN HOPE
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:HOPE
Last Name:AUER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10511 CHURCHILL DR
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61615-1179
Mailing Address - Country:US
Mailing Address - Phone:708-829-0436
Mailing Address - Fax:
Practice Address - Street 1:10511 CHURCHILL DR
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61615-1179
Practice Address - Country:US
Practice Address - Phone:708-829-0436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-12
Last Update Date:2020-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180011407101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional