| Dwayne Thomas Lawrence, LCMHC, LCAS | |
|
413 Paladin Dr Apt D, Greenville, NC 27834-7745 | |
| (252) 341-3192 | |
| Not Available |
| Full Name | Dwayne Thomas Lawrence |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 25 Years |
| Location | 413 Paladin Dr Apt D, Greenville, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| 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 |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| A Fresh Start Behavioral Health Services, Pllc | 9931466646 | 6 |
| Entity Name | A Fresh Start Behavioral Health Services, Pllc |
|---|---|
| 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 |
|---|---|
| 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: Accepting Medicare Assignments 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 |