Provider Demographics
NPI:1023659570
Name:BUDZYNSKI, LAURI RACHELLE (LPC)
Entity type:Individual
Prefix:MRS
First Name:LAURI
Middle Name:RACHELLE
Last Name:BUDZYNSKI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:LAURI
Other - Middle Name:RACHELLE
Other - Last Name:STOLLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCPC
Mailing Address - Street 1:7929 N PORT WASHINGTON RD STE A
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:WI
Mailing Address - Zip Code:53217-3135
Mailing Address - Country:US
Mailing Address - Phone:414-867-3556
Mailing Address - Fax:715-256-8324
Practice Address - Street 1:7929 N PORT WASHINGTON RD STE A
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:WI
Practice Address - Zip Code:53217-3135
Practice Address - Country:US
Practice Address - Phone:414-867-3556
Practice Address - Fax:715-256-8324
Is Sole Proprietor?:No
Enumeration Date:2019-10-07
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional