Provider Demographics
NPI:1669149043
Name:LAWSON, TARYN LANAE (LLPC)
Entity type:Individual
Prefix:
First Name:TARYN
Middle Name:LANAE
Last Name:LAWSON
Suffix:
Gender:F
Credentials:LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4625 BECKLEY RD STE 300
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49015-7944
Mailing Address - Country:US
Mailing Address - Phone:269-979-8119
Mailing Address - Fax:
Practice Address - Street 1:4625 BECKLEY RD STE 300
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49015-7944
Practice Address - Country:US
Practice Address - Phone:269-979-8119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-24
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
6451019639101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional