Provider Demographics
NPI:1023820537
Name:TAKACS, LAUREN (LPC)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:
Last Name:TAKACS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 HALIDAY ST
Mailing Address - Street 2:
Mailing Address - City:CLARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07066-1833
Mailing Address - Country:US
Mailing Address - Phone:908-902-5972
Mailing Address - Fax:848-666-7150
Practice Address - Street 1:6 HALIDAY ST
Practice Address - Street 2:
Practice Address - City:CLARK
Practice Address - State:NJ
Practice Address - Zip Code:07066-1833
Practice Address - Country:US
Practice Address - Phone:908-902-5972
Practice Address - Fax:848-666-7150
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00368900101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional