Provider Demographics
NPI:1447470679
Name:THE LAWSONS HOUSE
Entity type:Organization
Organization Name:THE LAWSONS HOUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHARITA
Authorized Official - Middle Name:M
Authorized Official - Last Name:LAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-291-0009
Mailing Address - Street 1:116 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WALLACE
Mailing Address - State:NC
Mailing Address - Zip Code:28466-2902
Mailing Address - Country:US
Mailing Address - Phone:910-285-5527
Mailing Address - Fax:910-285-5527
Practice Address - Street 1:116 W MAIN ST
Practice Address - Street 2:
Practice Address - City:WALLACE
Practice Address - State:NC
Practice Address - Zip Code:28466-2902
Practice Address - Country:US
Practice Address - Phone:910-285-5527
Practice Address - Fax:910-285-5527
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE LAWSONS HOUSE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-30
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6006004Medicaid