Provider Demographics
NPI:1053113571
Name:HAWXHURST, LAUREN (LMHC)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:HAWXHURST
Suffix:
Gender:
Credentials:LMHC
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:ANDRYSHAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:85 ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:CORNWALL ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:12520-1337
Mailing Address - Country:US
Mailing Address - Phone:845-742-8890
Mailing Address - Fax:
Practice Address - Street 1:16 QUAKER AVE
Practice Address - Street 2:
Practice Address - City:CORNWALL
Practice Address - State:NY
Practice Address - Zip Code:12518-2113
Practice Address - Country:US
Practice Address - Phone:845-237-2420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015814-01101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health