Provider Demographics
NPI:1598729006
Name:GRETTA P. LAWSON, M.ED., P.A.
Entity Type:Organization
Organization Name:GRETTA P. LAWSON, M.ED., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GRETTA
Authorized Official - Middle Name:P
Authorized Official - Last Name:LAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC/LMFT
Authorized Official - Phone:864-297-9999
Mailing Address - Street 1:1200 WOODRUFF RD
Mailing Address - Street 2:A-3
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-5730
Mailing Address - Country:US
Mailing Address - Phone:864-297-9999
Mailing Address - Fax:864-288-7937
Practice Address - Street 1:1200 WOODRUFF RD
Practice Address - Street 2:A-3
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-5730
Practice Address - Country:US
Practice Address - Phone:864-297-9999
Practice Address - Fax:864-288-7937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1848/1849101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty