Provider Demographics
NPI:1306964705
Name:LAWTON, QUINN E (LMHP, NCC)
Entity type:Individual
Prefix:
First Name:QUINN
Middle Name:E
Last Name:LAWTON
Suffix:
Gender:F
Credentials:LMHP, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5116 N 135TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-6165
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1004 FARNAM ST
Practice Address - Street 2:SUITE # 400
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68102-1839
Practice Address - Country:US
Practice Address - Phone:402-930-3037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2011-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE7929101Y00000X
207423101Y00000X
NE3291101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
207423OtherNCC CERTIFICATION
NE3291OtherLMHP LICENSE
NE7929OtherPLMHP LICENSE