Provider Demographics
NPI:1467606251
Name:LAWLIS, GARLAND FRANK (PHD)
Entity Type:Individual
Prefix:
First Name:GARLAND
Middle Name:FRANK
Last Name:LAWLIS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:571 W MAIN ST
Mailing Address - Street 2:STE 210
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75057-3628
Mailing Address - Country:US
Mailing Address - Phone:972-434-5454
Mailing Address - Fax:972-420-1111
Practice Address - Street 1:571 W MAIN ST
Practice Address - Street 2:STE 210
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75057-3628
Practice Address - Country:US
Practice Address - Phone:972-434-5454
Practice Address - Fax:972-420-1111
Is Sole Proprietor?:No
Enumeration Date:2008-11-06
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20508103TC0700X, 103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling