Provider Demographics
NPI:1932876596
Name:LAWES, SALLY ROCHIE (LPC)
Entity Type:Individual
Prefix:
First Name:SALLY
Middle Name:ROCHIE
Last Name:LAWES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:SALLY
Other - Middle Name:ROCHIE
Other - Last Name:GARRETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:35751 GATEWAY DR UNIT C313
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92211-6035
Mailing Address - Country:US
Mailing Address - Phone:205-410-2410
Mailing Address - Fax:
Practice Address - Street 1:35751 GATEWAY DR UNIT C313
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92211-6035
Practice Address - Country:US
Practice Address - Phone:205-410-2410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-23
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2140101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional