Provider Demographics
NPI:1831613991
Name:LAWRENCE, JOAN (EDD, LPCS, NCC)
Entity type:Individual
Prefix:
First Name:JOAN
Middle Name:
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:EDD, LPCS, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1261 DOVERSHIRE PL
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7307
Mailing Address - Country:US
Mailing Address - Phone:336-885-8157
Mailing Address - Fax:
Practice Address - Street 1:1400 EASTCHESTER DR STE 105A
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-2669
Practice Address - Country:US
Practice Address - Phone:336-687-5401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-31
Last Update Date:2017-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCS7510101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional