Provider Demographics
NPI:1174600191
Name:LAWHORN, JAMES C JR (LPC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:C
Last Name:LAWHORN
Suffix:JR
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1575 HERITAGE DR STE 203
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-3386
Mailing Address - Country:US
Mailing Address - Phone:214-856-4483
Mailing Address - Fax:214-856-4487
Practice Address - Street 1:1575 HERITAGE DR STE 203
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069
Practice Address - Country:US
Practice Address - Phone:214-856-4483
Practice Address - Fax:214-856-4487
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX171M00000X
TX17825101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX161993402Medicaid