Healthcare Provider Details

I. General information

NPI: 1821408881
Provider Name (Legal Business Name): EDITH RENEE LAWRENCE B.S., MA, LPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2014
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 LONG LN STE 3C
UPPER DARBY PA
19082-3439
US

IV. Provider business mailing address

20 ARBUTUS AVE
HISTORIC NEW CASTLE DE
19720-3655
US

V. Phone/Fax

Practice location:
  • Phone: 215-439-8149
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC-0011245
License Number StateDE
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC010297
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: