Healthcare Provider Details

I. General information

NPI: 1053113571
Provider Name (Legal Business Name): LAUREN HAWXHURST LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LAUREN ANDRYSHAK LMHC

II. Dates (important events)

Enumeration Date: 03/25/2025
Last Update Date: 03/25/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 QUAKER AVE
CORNWALL NY
12518-2113
US

IV. Provider business mailing address

85 ACADEMY AVE
CORNWALL ON HUDSON NY
12520-1337
US

V. Phone/Fax

Practice location:
  • Phone: 845-237-2420
  • Fax:
Mailing address:
  • Phone: 845-742-8890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number015814-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: