Provider Demographics
NPI:1982942900
Name:LAWSON, MELANIE (LCAS)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:LAWSON
Suffix:
Gender:F
Credentials:LCAS
Other - Prefix:
Other - First Name:MELANIE
Other - Middle Name:CRYSTAL
Other - Last Name:O'CONNOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:301 E WASHINGTON ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-2993
Mailing Address - Country:US
Mailing Address - Phone:336-333-6860
Mailing Address - Fax:336-275-1187
Practice Address - Street 1:842 E PRITCHARD ST
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-4800
Practice Address - Country:US
Practice Address - Phone:336-633-7257
Practice Address - Fax:336-633-7203
Is Sole Proprietor?:No
Enumeration Date:2013-01-25
Last Update Date:2015-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-3172101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)