Provider Demographics
NPI:1053987339
Name:GRAOVAC, LAUREN SCHNELL (LMFT)
Entity type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:SCHNELL
Last Name:GRAOVAC
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:SCHNELL
Other - Last Name:DAVISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:1561 SHADOWGLEN CT
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-1435
Mailing Address - Country:US
Mailing Address - Phone:646-337-6888
Mailing Address - Fax:
Practice Address - Street 1:1561 SHADOWGLEN CT
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-1435
Practice Address - Country:US
Practice Address - Phone:646-337-6888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-27
Last Update Date:2023-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA125944106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist