Provider Demographics
NPI:1346520467
Name:OUTLAW, JANET FRAWLEY (LPC, MHSP)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:FRAWLEY
Last Name:OUTLAW
Suffix:
Gender:F
Credentials:LPC, MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 THELMA DR
Mailing Address - Street 2:
Mailing Address - City:BELL BUCKLE
Mailing Address - State:TN
Mailing Address - Zip Code:37020-4872
Mailing Address - Country:US
Mailing Address - Phone:615-336-5332
Mailing Address - Fax:615-216-2103
Practice Address - Street 1:115 THELMA DR
Practice Address - Street 2:
Practice Address - City:BELL BUCKLE
Practice Address - State:TN
Practice Address - Zip Code:37020-4872
Practice Address - Country:US
Practice Address - Phone:615-336-5332
Practice Address - Fax:615-216-2103
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-20
Last Update Date:2011-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPC0000001784101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional