Provider Demographics
NPI:1427341064
Name:HOAGLAND, LAURIE MARIE (LMHC)
Entity type:Individual
Prefix:MRS
First Name:LAURIE
Middle Name:MARIE
Last Name:HOAGLAND
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:293 SINSABAUGH RD
Mailing Address - Street 2:APT. 1
Mailing Address - City:PINE BUSH
Mailing Address - State:NY
Mailing Address - Zip Code:12566-5428
Mailing Address - Country:US
Mailing Address - Phone:716-359-6103
Mailing Address - Fax:
Practice Address - Street 1:39 CENTER ST
Practice Address - Street 2:APT. 2
Practice Address - City:BREWSTER
Practice Address - State:NY
Practice Address - Zip Code:10509-1218
Practice Address - Country:US
Practice Address - Phone:716-359-6103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-16
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002293101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health