Provider Demographics
NPI:1285253740
Name:DEHOFF, LAUREN E (LCPC)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:E
Last Name:DEHOFF
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:E
Other - Last Name:CERCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:24020 W RIVERWALK CT STE 100
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60544-7105
Mailing Address - Country:US
Mailing Address - Phone:815-577-8970
Mailing Address - Fax:815-577-8988
Practice Address - Street 1:24020 W RIVERWALK CT STE 100
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60544-7105
Practice Address - Country:US
Practice Address - Phone:815-577-8970
Practice Address - Fax:815-577-8988
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-14
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty