Healthcare Provider Details

I. General information

NPI: 1053632752
Provider Name (Legal Business Name): EMILY CATHERINE LAWING-ROLAND MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2010
Last Update Date: 02/19/2020
Certification Date: 02/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7900 MCCLOUD RD STE 101
GREENSBORO NC
27409-3232
US

IV. Provider business mailing address

2260 ODELL SCHOOL RD
CONCORD NC
28027-7453
US

V. Phone/Fax

Practice location:
  • Phone: 336-931-1800
  • Fax:
Mailing address:
  • Phone: 704-699-8521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC009564
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: