Provider Demographics
NPI:1194118166
Name:HAWTHORNE-LOUIDOR, ARZELLA LASHUN (MAC, LMHC, LPC)
Entity type:Individual
Prefix:
First Name:ARZELLA
Middle Name:LASHUN
Last Name:HAWTHORNE-LOUIDOR
Suffix:
Gender:F
Credentials:MAC, LMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1320 NE 28TH AVE
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32609-3115
Mailing Address - Country:US
Mailing Address - Phone:305-498-0088
Mailing Address - Fax:352-464-6330
Practice Address - Street 1:4131 NW 13TH ST STE 206
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32609-1863
Practice Address - Country:US
Practice Address - Phone:352-505-2840
Practice Address - Fax:352-464-6330
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-13
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC011752101YP2500X
FLMH12608101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional