MEDICARE: CORINNE NIOBE LAWRENCE LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	005612	NY

General Provider Information

NPI Number	:	1619218682
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CORINNE NIOBE LAWRENCE LMHC

Provider Business Mailing Address
First Line	:	1600 CATON AVE
Second Line	:	APT 4L
City	:	BROOKLYN
State	:	NY
Zip	:	11226-1001
Country	:	US
Telephone Number	:	347-984-1969
Fax Number	:

Provider Business Practice Location Address
First Line	:	770 SNEDIKER AVE # 2F
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11207-7606
Country	:	US
Telephone Number	:	347-984-1969
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/15/2013
Last Update Date	:	03/06/2026

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