Provider Demographics
NPI:1184904906
Name:TRAUDT, LINDSEY M (LPC)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:M
Last Name:TRAUDT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:M
Other - Last Name:LANGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:1212 LARKIN AVE
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123-6042
Mailing Address - Country:US
Mailing Address - Phone:847-695-5656
Mailing Address - Fax:847-695-0897
Practice Address - Street 1:1212 LARKIN AVE
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-6042
Practice Address - Country:US
Practice Address - Phone:847-695-5656
Practice Address - Fax:847-695-0897
Is Sole Proprietor?:No
Enumeration Date:2011-08-24
Last Update Date:2011-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.006312101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional