Healthcare Provider Details

I. General information

NPI: 1114851896
Provider Name (Legal Business Name): HANNAH LAWSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2313 TUTTLE RD
WALNUT COVE NC
27052-7903
US

IV. Provider business mailing address

2313 TUTTLE RD
WALNUT COVE NC
27052-7903
US

V. Phone/Fax

Practice location:
  • Phone: 336-251-2611
  • Fax:
Mailing address:
  • Phone: 336-251-2611
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: