Individual provider · NPI-1
Lauren Leigh Barris, LCSW
Social Worker, Clinical · Springfield, IL
NPI number1093224024
StatusActive
Last updated in NPPESNov 19, 2024
Details
- NPI
- 1093224024
- Entity type
- Individual (NPI-1)
- Name
- Lauren Leigh Barris
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 21, 2017
- Certification date
- Nov 19, 2024
- Last updated
- Nov 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149022271 | IL | Yes |
Practice location
2501 Chatham Rd Ste NSpringfield, IL 62704-4188
Phone 616-328-6109 · Fax 616-328-6529
Mailing address
625 Kenmoor Ave Se Ste 301Grand Rapids, MI 49546-2395
Phone 616-328-6109 · Fax 616-328-6529
Other practice locations
625 Kenmoor Ave Se Ste 301
Grand Rapids, MI 49546-2395
Grand Rapids, MI 49546-2395
Phone 616-328-6109 · Fax 616-328-6529
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