Provider Demographics
NPI:1801467725
Name:CORREA, LAUREN A (MA, LCMHC)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:A
Last Name:CORREA
Suffix:
Gender:F
Credentials:MA, LCMHC
Other - Prefix:MS
Other - First Name:LAUREN
Other - Middle Name:A
Other - Last Name:MAIZE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2125 ENTERPRISE RD.
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408
Mailing Address - Country:US
Mailing Address - Phone:336-808-5488
Mailing Address - Fax:336-500-8746
Practice Address - Street 1:2125 ENTERPRISE RD.
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408
Practice Address - Country:US
Practice Address - Phone:336-808-5488
Practice Address - Fax:336-500-8746
Is Sole Proprietor?:No
Enumeration Date:2021-07-02
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCMHC-16518101YM0800X
NCA16518101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health