Provider Demographics
NPI:1245455856
Name:LAWS, D AMES R (MAED, LPC, LMFT)
Entity type:Individual
Prefix:
First Name:D
Middle Name:AMES R
Last Name:LAWS
Suffix:
Gender:F
Credentials:MAED, LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2910 BRIARCLIFF RD
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-3077
Mailing Address - Country:US
Mailing Address - Phone:336-724-0046
Mailing Address - Fax:
Practice Address - Street 1:2910 BRIARCLIFFE RD
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-3176
Practice Address - Country:US
Practice Address - Phone:336-724-0046
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2014-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC498101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC20881OtherBLUE CROSS BLUE SHIELD