Provider Demographics
NPI:1114582244
Name:ELIZABETH LAWTON, LMHC, LLC
Entity Type:Organization
Organization Name:ELIZABETH LAWTON, LMHC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWTON
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:904-452-4612
Mailing Address - Street 1:420 S STATE ROAD 7 STE 118
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-4304
Mailing Address - Country:US
Mailing Address - Phone:904-452-4612
Mailing Address - Fax:844-335-7127
Practice Address - Street 1:420 S STATE ROAD 7 STE 118
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-4304
Practice Address - Country:US
Practice Address - Phone:904-452-4612
Practice Address - Fax:844-335-7127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-03
Last Update Date:2019-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health