Healthcare Provider Details
I. General information
NPI: 1174729248
Provider Name (Legal Business Name): RICHARD LAWHON INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/25/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
810 TRAVELERS BLVD UNIT L2
SUMMERVILLE SC
29485
US
IV. Provider business mailing address
810 TRAVELERS BLVD UNIT L2
SUMMERVILLE SC
29485
US
V. Phone/Fax
- Phone: 843-875-0655
- Fax: 843-821-7195
- Phone: 843-875-0655
- Fax: 843-821-7195
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | 0508174 |
| License Number State | SC |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 2660 |
| License Number State | SC |
VIII. Authorized Official
Name: MR.
RICHARD
LYNN
LAWHON
Title or Position: COUNSELOR
Credential: LPCS NCACI
Phone: 843-875-0655