Provider Demographics
NPI:1952862153
Name:LAWRENCE, TONJA Y (LLPC)
Entity Type:Individual
Prefix:DR
First Name:TONJA
Middle Name:Y
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25263 MUERLAND RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48033-5359
Mailing Address - Country:US
Mailing Address - Phone:248-622-6776
Mailing Address - Fax:
Practice Address - Street 1:UZANI COUNSELING AND CONSULTING, LLPC
Practice Address - Street 2:29556 SOUTHFIELD RD, SUITE 200
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-4807
Practice Address - Country:US
Practice Address - Phone:248-750-8976
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-29
Last Update Date:2019-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401016958101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6401016958OtherCASH, CREDIT, BLUE CARE NETWORK