Provider Demographics
NPI:1386353803
Name:BRANDY LOCHEN, LCPC, LASOP
Entity type:Organization
Organization Name:BRANDY LOCHEN, LCPC, LASOP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BRANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:LOCHEN
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC, LASOP
Authorized Official - Phone:224-357-6754
Mailing Address - Street 1:1313 CUNAT CT APT 1D
Mailing Address - Street 2:
Mailing Address - City:LAKE IN THE HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60156-5262
Mailing Address - Country:US
Mailing Address - Phone:815-483-3739
Mailing Address - Fax:
Practice Address - Street 1:418 N CENTER ST
Practice Address - Street 2:
Practice Address - City:SOUTH ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60177-4301
Practice Address - Country:US
Practice Address - Phone:224-357-6754
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-23
Last Update Date:2022-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty