Provider Demographics
NPI:1124177555
Name:LAWHON, RICHARD LYNN (LPC NCACI)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:LYNN
Last Name:LAWHON
Suffix:
Gender:M
Credentials:LPC NCACI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 TRAVELERS BLVD
Mailing Address - Street 2:UNIT L2
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29485
Mailing Address - Country:US
Mailing Address - Phone:843-875-0655
Mailing Address - Fax:843-821-7195
Practice Address - Street 1:810 TRAVELERS BLVD
Practice Address - Street 2:UNIT L2
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29485
Practice Address - Country:US
Practice Address - Phone:843-875-0655
Practice Address - Fax:843-821-7195
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC0508174101YA0400X
SC2660101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health