Healthcare Provider Details

I. General information

NPI: 1760317879
Provider Name (Legal Business Name): YVETTE LAWHORN, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 MAIN ST STE 6
STONEHAM MA
02180-2649
US

IV. Provider business mailing address

20 FOREST ST UNIT 8
MEDFORD MA
02155-7701
US

V. Phone/Fax

Practice location:
  • Phone: 617-468-8570
  • Fax: 781-383-7312
Mailing address:
  • Phone: 617-468-8570
  • Fax: 781-383-7312

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: YVETTE LAWHORN
Title or Position: THERAPIST
Credential: LMHC
Phone: 617-468-8570