Provider Demographics
NPI:1841838562
Name:LAWRENCE HYMES COUNSELING A MEDICAL CORPORATION
Entity type:Organization
Organization Name:LAWRENCE HYMES COUNSELING A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:HYMES
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:323-896-0635
Mailing Address - Street 1:8235 SANTA MONICA BLVD STE 311
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90046-5969
Mailing Address - Country:US
Mailing Address - Phone:323-896-0635
Mailing Address - Fax:
Practice Address - Street 1:8235 SANTA MONICA BLVD STE 311
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90046-5969
Practice Address - Country:US
Practice Address - Phone:323-896-0635
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-12
Last Update Date:2019-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty