Provider Demographics
NPI:1194323022
Name:CAVELLI, LAUREN (MA, LCPC, NCC)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:CAVELLI
Suffix:
Gender:F
Credentials:MA, LCPC, NCC
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:HOFFMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LCPC, NCC
Mailing Address - Street 1:1580 S MILWAUKEE AVE STE 307
Mailing Address - Street 2:
Mailing Address - City:LIBERTYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60048-3773
Mailing Address - Country:US
Mailing Address - Phone:224-504-4188
Mailing Address - Fax:
Practice Address - Street 1:1580 S MILWAUKEE AVE STE 307
Practice Address - Street 2:
Practice Address - City:LIBERTYVILLE
Practice Address - State:IL
Practice Address - Zip Code:60048-3773
Practice Address - Country:US
Practice Address - Phone:847-557-0645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-13
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.016211101YP2500X
IL180.015881101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional