Provider Demographics
NPI:1922851351
Name:LAZUR, ADRIA LYNN (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:ADRIA
Middle Name:LYNN
Last Name:LAZUR
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 1:10 RISE N SUN DR
Mailing Address - Street 2:
Mailing Address - City:HOPE
Mailing Address - State:RI
Mailing Address - Zip Code:02831-1832
Mailing Address - Country:US
Mailing Address - Phone:774-306-1938
Mailing Address - Fax:
Practice Address - Street 1:10 RISE N SUN DR
Practice Address - Street 2:
Practice Address - City:HOPE
Practice Address - State:RI
Practice Address - Zip Code:02831-1832
Practice Address - Country:US
Practice Address - Phone:774-306-1938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9000101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health