Provider Demographics
NPI:1073230058
Name:LAWLER, HANNAH MELISSA
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:MELISSA
Last Name:LAWLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7727 HANFORD AVE
Mailing Address - Street 2:
Mailing Address - City:YUCCA VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92284-8508
Mailing Address - Country:US
Mailing Address - Phone:760-774-6269
Mailing Address - Fax:
Practice Address - Street 1:71175 AURORA RD
Practice Address - Street 2:
Practice Address - City:DESERT HOT SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92241-7631
Practice Address - Country:US
Practice Address - Phone:760-251-8858
Practice Address - Fax:760-329-8889
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-20
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14563101YP2500X
CA390200000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Multi-Specialty