Provider Demographics
NPI:1508288192
Name:LAWTON-EDWARDS, VALERIE ELISABETH (LPC)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:ELISABETH
Last Name:LAWTON-EDWARDS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2617 SANDY PLAINS RD
Mailing Address - Street 2:C
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066-4254
Mailing Address - Country:US
Mailing Address - Phone:678-265-8361
Mailing Address - Fax:678-265-8362
Practice Address - Street 1:2617 SANDY PLAINS RD
Practice Address - Street 2:C
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30066-4254
Practice Address - Country:US
Practice Address - Phone:678-265-8361
Practice Address - Fax:678-265-8362
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-15
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC004673101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional