Lawson, Jerry Wayne

Lawson, Jerry Wayne is an sole proprietor health care provider with primary practice located at 1363 Highway A1A , Satellite Beach FL 32937-2407. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Lawson, Jerry Wayne can be contacted via phone (321) 777-0119.

Contact Information

Primary practice address
1363 Highway A1A Satellite Beach FL 32937-2407
Phone: (321) 777-0119
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X MH18237 Florida
Behavioral Health & Social Service Providers / Professional 101YP2500X MH18237 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH18237 Florida

Profile Details

NPI number 1942819024
LBN Legal business name Lawson, Jerry Wayne
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2020
Last updated Jul 24th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942819024 NPPES
Florida Other MH18237 INSURANCE

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