Provider Demographics
NPI:1366592818
Name:MEISEL, LAWRENCE P JR (EDD, LPC, LMFT)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:P
Last Name:MEISEL
Suffix:JR
Gender:M
Credentials:EDD, LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4741 ARMOUR RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-5093
Mailing Address - Country:US
Mailing Address - Phone:706-323-9494
Mailing Address - Fax:703-323-2229
Practice Address - Street 1:4741 ARMOUR RD
Practice Address - Street 2:SUITE B
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-5093
Practice Address - Country:US
Practice Address - Phone:706-323-9494
Practice Address - Fax:703-323-2229
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC 1376101YP2500X
GALMFT 756106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist