Provider Demographics
NPI:1174823249
Name:ANDREW LAWSON COUNSELING LLC
Entity Type:Organization
Organization Name:ANDREW LAWSON COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:MC, LMFT, LISAC
Authorized Official - Phone:623-547-7656
Mailing Address - Street 1:15396 N 83RD AVE
Mailing Address - Street 2:SUITE E
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-5622
Mailing Address - Country:US
Mailing Address - Phone:623-547-7656
Mailing Address - Fax:623-547-7611
Practice Address - Street 1:15396 N 83RD AVE
Practice Address - Street 2:SUITE E
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-5622
Practice Address - Country:US
Practice Address - Phone:623-547-7656
Practice Address - Fax:623-547-7611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-23
Last Update Date:2010-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMFT106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1225180656OtherNPI