Healthcare Provider Details

I. General information

NPI: 1558855379
Provider Name (Legal Business Name): ABBY JANELLE LAWSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2018
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3021 E 98TH ST STE 140
CARMEL IN
46280-1964
US

IV. Provider business mailing address

3021 E 98TH ST STE 140
CARMEL IN
46280-1964
US

V. Phone/Fax

Practice location:
  • Phone: 317-214-0863
  • Fax:
Mailing address:
  • Phone: 317-214-0863
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: