Provider Demographics
NPI:1588554083
Name:LAWLER, MICHAEL (MFT-IT)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:LAWLER
Suffix:
Gender:M
Credentials:MFT-IT
Other - Prefix:
Other - First Name:MIKE
Other - Middle Name:
Other - Last Name:LAWLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:6302 ODANA RD STE 101
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53719-1162
Mailing Address - Country:US
Mailing Address - Phone:608-285-2332
Mailing Address - Fax:
Practice Address - Street 1:6302 ODANA RD STE 101
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53719-1162
Practice Address - Country:US
Practice Address - Phone:608-285-2332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1160-228106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist