Provider Demographics
NPI:1487958989
Name:LAWVER, MELISSA (LPC)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:
Last Name:LAWVER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 HALL JOHNSON RD
Mailing Address - Street 2:
Mailing Address - City:COLLEYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76034-5257
Mailing Address - Country:US
Mailing Address - Phone:817-906-1111
Mailing Address - Fax:
Practice Address - Street 1:2600 HALL JOHNSON RD
Practice Address - Street 2:
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034-5257
Practice Address - Country:US
Practice Address - Phone:817-906-1111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-27
Last Update Date:2010-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64509101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional