Provider Demographics
NPI:1407021975
Name:LAURYN SAWYER MSW LCSW PLLC
Entity Type:Organization
Organization Name:LAURYN SAWYER MSW LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURYN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAWYER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW LCSW PLLC
Authorized Official - Phone:252-752-1617
Mailing Address - Street 1:PO BOX 30834
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27833-0834
Mailing Address - Country:US
Mailing Address - Phone:252-752-1617
Mailing Address - Fax:
Practice Address - Street 1:223 COMMERCE ST STE D
Practice Address - Street 2:SUITE D
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-5032
Practice Address - Country:US
Practice Address - Phone:252-752-1617
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-25
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC003454101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1248NOtherBLUECROSS/BLUESHEILD
NC186470OtherMEDCOST
NC6002016Medicaid
NC1248NOtherBLUECROSS/BLUESHEILD