Provider Demographics
NPI:1386090884
Name:ESWORTHY, LAUREN (MA, LPC, LPCC)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:ESWORTHY
Suffix:
Gender:F
Credentials:MA, LPC, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3989 BROADWAY STE 305
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-2639
Mailing Address - Country:US
Mailing Address - Phone:614-594-3915
Mailing Address - Fax:614-586-9149
Practice Address - Street 1:3989 BROADWAY STE 305
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-2639
Practice Address - Country:US
Practice Address - Phone:614-594-3915
Practice Address - Fax:614-586-9149
Is Sole Proprietor?:No
Enumeration Date:2016-05-13
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73863101YP2500X
OHE.2001992101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional