Provider Demographics
NPI:1194372326
Name:LAWLEY, RACHEL ELLISON (MED, ALC, NCC)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:ELLISON
Last Name:LAWLEY
Suffix:
Gender:F
Credentials:MED, ALC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 ROBIN ST
Mailing Address - Street 2:
Mailing Address - City:CALERA
Mailing Address - State:AL
Mailing Address - Zip Code:35040-4950
Mailing Address - Country:US
Mailing Address - Phone:205-767-0644
Mailing Address - Fax:
Practice Address - Street 1:161 ROBIN ST
Practice Address - Street 2:
Practice Address - City:CALERA
Practice Address - State:AL
Practice Address - Zip Code:35040-4950
Practice Address - Country:US
Practice Address - Phone:205-767-0644
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-22
Last Update Date:2019-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALC3337A101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor