Dwayne Thomas Lawrence, LCMHC, LCAS | |
413 Paladin Dr Apt D, Greenville, NC 27834-7745 | |
(252) 341-3192 | |
Not Available |
Full Name | Dwayne Thomas Lawrence |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 413 Paladin Dr Apt D, Greenville, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801908678 | NPI | - | NPPES |
6111884 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | 7328 (North Carolina) | Primary |
Entity Name | A Fresh Start Behavioral Health Services, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710499223 PECOS PAC ID: 9931466646 Enrollment ID: O20180117002275 |
Mailing Address | Practice Location Address |
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Dwayne Thomas Lawrence, LCMHC, LCAS 413 Paladin Dr Apt D, Greenville, NC 27834-7745 Ph: (252) 341-3192 | Dwayne Thomas Lawrence, LCMHC, LCAS 413 Paladin Dr Apt D, Greenville, NC 27834-7745 Ph: (252) 341-3192 |
Ms. Celeste S Crawford, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1309 W Ragsdale Rd, Greenville, NC 27858 Phone: 252-341-8233 | |
Erica M Little, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2428 Charles Blvd, Greenville, NC 27858 Phone: 252-215-5700 Fax: 252-215-5701 | |
Lynn Battle Owens, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 Lynndale Ct Ste A, Greenville, NC 27858 Phone: 252-347-8058 | |
Jasmine Bombard Martinez, Counselor Medicare: Medicare Enrolled Practice Location: 231 Commerce St, Greenville, NC 27858 Phone: 252-321-8080 Fax: 252-321-7999 | |
Dr. Nathalie Diona Mizelle-johnson, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1709 Evans St, Suite B, Greenville, NC 27834 Phone: 252-756-7848 | |
Mr. Bryan Crisp, LMFT, BCBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 Lynndale Court, Suite A, Greenville, NC 27858 Phone: 252-413-8890 Fax: 252-756-7533 | |
James Arthur Coulter, MSW, LCSW, LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 6a Doctor's Park, Greenville, NC 27834 Phone: 252-744-4500 Fax: 252-744-3472 |