Provider Demographics
NPI:1720716020
Name:LAWRENCE, TONI (LCSW)
Entity Type:Individual
Prefix:
First Name:TONI
Middle Name:
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:TONI
Other - Middle Name:
Other - Last Name:LAWRENCE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:12333 SOWDEN RD.
Mailing Address - Street 2:STE. B #199107
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77080-3668
Mailing Address - Country:US
Mailing Address - Phone:832-888-2410
Mailing Address - Fax:
Practice Address - Street 1:12333 SOWDEN RD.
Practice Address - Street 2:STE. B #199107
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77080-7708
Practice Address - Country:US
Practice Address - Phone:832-888-2410
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-13
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX667501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical