Provider Demographics
NPI:1588261846
Name:LAWRENCE, RASHANDA (NCC)
Entity type:Individual
Prefix:
First Name:RASHANDA
Middle Name:
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 MERCY WAY
Mailing Address - Street 2:
Mailing Address - City:POWDER SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30127-6854
Mailing Address - Country:US
Mailing Address - Phone:470-332-9661
Mailing Address - Fax:
Practice Address - Street 1:810 JOSEPH E BOONE BLVD NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30314-3339
Practice Address - Country:US
Practice Address - Phone:404-481-5790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-08
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health