Provider Demographics
NPI:1780988733
Name:LAURENZANO, CATALINA (MA, LCPC)
Entity type:Individual
Prefix:
First Name:CATALINA
Middle Name:
Last Name:LAURENZANO
Suffix:
Gender:F
Credentials:MA, LCPC
Other - Prefix:
Other - First Name:CATALINA
Other - Middle Name:
Other - Last Name:LEMA-HENNESSEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCPC
Mailing Address - Street 1:238 COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30189-6135
Mailing Address - Country:US
Mailing Address - Phone:240-370-9178
Mailing Address - Fax:
Practice Address - Street 1:409 OLD BORING LN
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30189-2495
Practice Address - Country:US
Practice Address - Phone:770-928-7618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-05
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC3784101YM0800X
GALPC008341101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health