Healthcare Provider Details

I. General information

NPI: 1013426360
Provider Name (Legal Business Name): LAWRENCE TERREL JONES LCPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2017
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9701 APOLLO DR STE 100
LARGO MD
20774-4785
US

IV. Provider business mailing address

9701 APOLLO DR STE 100
LARGO MD
20774-4785
US

V. Phone/Fax

Practice location:
  • Phone: 240-701-1109
  • Fax:
Mailing address:
  • Phone: 240-701-1109
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0701016207
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPRC15458
License Number StateDC
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLC6555
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: