Provider Demographics
NPI:1457712622
Name:DR. JOSEPH G. LAW JR. & ASSOCIATES,INC.
Entity Type:Organization
Organization Name:DR. JOSEPH G. LAW JR. & ASSOCIATES,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:G
Authorized Official - Last Name:LAW
Authorized Official - Suffix:JR
Authorized Official - Credentials:LPC
Authorized Official - Phone:251-450-0000
Mailing Address - Street 1:605 BEL AIR BLVD
Mailing Address - Street 2:SUITE 24
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36606-3528
Mailing Address - Country:US
Mailing Address - Phone:251-450-0000
Mailing Address - Fax:186-626-7905
Practice Address - Street 1:605 BEL AIR BLVD
Practice Address - Street 2:SUITE 24
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36606-3528
Practice Address - Country:US
Practice Address - Phone:251-450-0000
Practice Address - Fax:186-626-7905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-15
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL345101YM0800X
TNP0000001064103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty