Provider Demographics
NPI:1295283679
Name:LAWSON, TASHA (MA, LPC)
Entity type:Individual
Prefix:MS
First Name:TASHA
Middle Name:
Last Name:LAWSON
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 ROYAL LN APT 7
Mailing Address - Street 2:
Mailing Address - City:CISCO
Mailing Address - State:TX
Mailing Address - Zip Code:76437-3677
Mailing Address - Country:US
Mailing Address - Phone:972-757-9221
Mailing Address - Fax:
Practice Address - Street 1:201 INSPIRATION BLVD
Practice Address - Street 2:
Practice Address - City:EASTLAND
Practice Address - State:TX
Practice Address - Zip Code:76448-5514
Practice Address - Country:US
Practice Address - Phone:254-629-3223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-14
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68052101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional