Provider Demographics
NPI:1730143140
Name:LAWLESS, DOMMIE (M ED LPC)
Entity Type:Individual
Prefix:
First Name:DOMMIE
Middle Name:
Last Name:LAWLESS
Suffix:
Gender:M
Credentials:M ED LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8005 SOUTHERN HILLS LN
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75089-7868
Mailing Address - Country:US
Mailing Address - Phone:972-412-7645
Mailing Address - Fax:972-671-6370
Practice Address - Street 1:1750 N COLLINS BLVD
Practice Address - Street 2:STE 200
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-3569
Practice Address - Country:US
Practice Address - Phone:972-412-7645
Practice Address - Fax:972-671-6370
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health