Provider Demographics
NPI:1487088662
Name:STREATOR, LORI (LCPC)
Entity type:Individual
Prefix:MS
First Name:LORI
Middle Name:
Last Name:STREATOR
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:392 THORNHILL CT APT B1
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60193-2145
Mailing Address - Country:US
Mailing Address - Phone:630-333-6218
Mailing Address - Fax:
Practice Address - Street 1:25 E SCHAUMBURG RD STE 101
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60194-3548
Practice Address - Country:US
Practice Address - Phone:630-333-6218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-24
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180008457101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional