Provider Demographics
NPI:1396123162
Name:HYBZA, LAUREN (LPC)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:
Last Name:HYBZA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MISS
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:BARRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:113 MAPLE BLVD
Mailing Address - Street 2:
Mailing Address - City:CADILLAC
Mailing Address - State:MI
Mailing Address - Zip Code:49601-9635
Mailing Address - Country:US
Mailing Address - Phone:231-510-1645
Mailing Address - Fax:
Practice Address - Street 1:113 MAPLE BLVD
Practice Address - Street 2:
Practice Address - City:CADILLAC
Practice Address - State:MI
Practice Address - Zip Code:49601
Practice Address - Country:US
Practice Address - Phone:231-510-1645
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-13
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
MI6401018592101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health