| Elizabeth L Lawrence, MS | |
|
212 W Highway 98 # C, Port St Joe, FL 32456-1301 | |
| (850) 209-2423 | |
| Not Available |
| Full Name | Elizabeth L Lawrence |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 212 W Highway 98 # C, Port St Joe, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437768645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | IMH18908 (Florida) | Primary |
| Entity Name | Life Management Center Of Northwest Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508854571 PECOS PAC ID: 9739162371 Enrollment ID: O20040612000387 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth L Lawrence, MS 212 W Highway 98 # C, Port St Joe, FL 32456-1301 Ph: (850) 209-2423 | Elizabeth L Lawrence, MS 212 W Highway 98 # C, Port St Joe, FL 32456-1301 Ph: (850) 209-2423 |
Mr. Noel Jason Hartough, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 3050 W Highway 98 Unit C53, Port St Joe, FL 32456 Phone: 615-498-6435 | |
Donald Summers, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 311 Williams Ave, Port St Joe, FL 32456 Phone: 850-227-1145 Fax: 850-914-8261 | |
James Alfred Land, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 212 W Highway 98 Ste C, Port St Joe, FL 32456 Phone: 850-705-1766 Fax: 850-705-1767 | |
Kiara Chantay Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 212 W Highway 98 Ste C, Port St Joe, FL 32456 Phone: 850-705-1766 | |
Belinda D Jordan, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 212 W Highway 98 Ste C, Port St Joe, FL 32456 Phone: 850-705-1766 Fax: 850-705-1767 | |
Mr. Melvin Leroy Pitt Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 212 W Highway 98, Port St Joe, FL 32456 Phone: 850-705-1766 |