Provider Demographics
NPI:1487874897
Name:LAWSON, MARY CHRISTINE (LPC-MHSP)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:CHRISTINE
Last Name:LAWSON
Suffix:
Gender:F
Credentials:LPC-MHSP
Other - Prefix:MS
Other - First Name:MARY
Other - Middle Name:CHRISTINE
Other - Last Name:COVERDALE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1937 WESTMINSTER WAY
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-9037
Mailing Address - Country:US
Mailing Address - Phone:302-548-8972
Mailing Address - Fax:
Practice Address - Street 1:1937 WESTMINSTER WAY
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-9037
Practice Address - Country:US
Practice Address - Phone:302-548-8972
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7076101YM0800X
101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)