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Provider Information for 1346677804


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EVANYE LAWSON LAPC


Sex: Female

NPI: 1346677804
Last Updated: 2016-05-17
Certification Date:

Details

NameValue
NPI1346677804
Enumeration Date2013-09-30
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 3904 NORTH DRUID HILLS RD
263
DECATUR, GA 30033
United States

Phone: 404-981-3740 | Fax:
 
Primary Practice Address 317 WEST HILL ST
205
DECATUR, GA 30030
United States

Phone: 404-981-3740 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalGALPC008690