Provider Demographics
NPI:1609539873
Name:LAWHORN, YVETTE M (LSW)
Entity type:Individual
Prefix:
First Name:YVETTE
Middle Name:M
Last Name:LAWHORN
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1351
Mailing Address - Street 2:
Mailing Address - City:PEKIN
Mailing Address - State:IL
Mailing Address - Zip Code:61555-1351
Mailing Address - Country:US
Mailing Address - Phone:617-468-8570
Mailing Address - Fax:309-322-2901
Practice Address - Street 1:51 PLEASANT ST STE 1070
Practice Address - Street 2:
Practice Address - City:MALDEN
Practice Address - State:MA
Practice Address - Zip Code:02148-4904
Practice Address - Country:US
Practice Address - Phone:617-468-8570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-14
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health