Provider Demographics
NPI:1871081802
Name:KRZYZANIAK, LAUREN RACHEL (LPC, LMHC)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:RACHEL
Last Name:KRZYZANIAK
Suffix:
Gender:F
Credentials:LPC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5176
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-0176
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3854 DALE RD
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48603-3133
Practice Address - Country:US
Practice Address - Phone:989-262-9090
Practice Address - Fax:989-702-2340
Is Sole Proprietor?:No
Enumeration Date:2018-04-25
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH61173410101YM0800X
MI6401020316101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health