Provider Demographics
NPI:1134370836
Name:SAX, LAUREN BETH (MS, LCPC)
Entity type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:BETH
Last Name:SAX
Suffix:
Gender:F
Credentials:MS, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1585 RAYMOND DR
Mailing Address - Street 2:103
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-2293
Mailing Address - Country:US
Mailing Address - Phone:630-738-9232
Mailing Address - Fax:
Practice Address - Street 1:27W291 GENEVA RD
Practice Address - Street 2:STE C
Practice Address - City:WINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60190-2041
Practice Address - Country:US
Practice Address - Phone:630-738-9232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-01
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.006983101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health