Provider Demographics
NPI:1669258166
Name:MADDEN, LAUREN EDEWAARD (LPC-A)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:EDEWAARD
Last Name:MADDEN
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 SCOTT ST
Mailing Address - Street 2:
Mailing Address - City:DANIEL ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29492-7539
Mailing Address - Country:US
Mailing Address - Phone:843-606-0498
Mailing Address - Fax:
Practice Address - Street 1:3850 BESSEMER RD STE 230
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29466-7188
Practice Address - Country:US
Practice Address - Phone:843-606-0306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-31
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8643101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional