Provider Demographics
NPI:1215784301
Name:LAWHON, SIERRA SNYDER
Entity type:Individual
Prefix:
First Name:SIERRA
Middle Name:SNYDER
Last Name:LAWHON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:549 W EVANS ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-3407
Mailing Address - Country:US
Mailing Address - Phone:843-667-4949
Mailing Address - Fax:
Practice Address - Street 1:549 W EVANS ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-3407
Practice Address - Country:US
Practice Address - Phone:843-667-4949
Practice Address - Fax:843-667-3349
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-06
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8830101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional