Provider Demographics
NPI:1639439714
Name:LAWRENCE, JULIA (LMHC)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 CUMMINGS CTR STE 418T
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-6177
Mailing Address - Country:US
Mailing Address - Phone:978-219-9685
Mailing Address - Fax:
Practice Address - Street 1:900 CUMMINGS CTR STE 418T
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-6177
Practice Address - Country:US
Practice Address - Phone:978-219-9685
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-22
Last Update Date:2019-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9087101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health