Healthcare Provider Details

I. General information

NPI: 1003525619
Provider Name (Legal Business Name): ERIN LAWSON PSY.D. LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2022
Last Update Date: 01/24/2023
Certification Date: 01/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 COACH LEE HILL BLVD
STATESBORO GA
30458-4700
US

IV. Provider business mailing address

14401 S MILITARY TRL APT E307
DELRAY BEACH FL
33484-3886
US

V. Phone/Fax

Practice location:
  • Phone: 912-388-1312
  • Fax:
Mailing address:
  • Phone: 912-531-8027
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. ERIN ELIZABETH LAWSON-PAWELCYZK
Title or Position: LICENSED CLINICAL PSYCHOLOGIST
Credential: PSY.D.
Phone: 912-531-8027