MEDICARE: YVETTE M LAWHORN LSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1609539873
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YVETTE M LAWHORN LSW

Provider Business Mailing Address
First Line	:	20 FOREST ST UNIT 8
Second Line	:
City	:	MEDFORD
State	:	MA
Zip	:	02155-7701
Country	:	US
Telephone Number	:	617-468-8570
Fax Number	:

Provider Business Practice Location Address
First Line	:	6 BROADWAY
Second Line	:
City	:	BEVERLY
State	:	MA
Zip	:	01915-4418
Country	:	US
Telephone Number	:	617-468-8570
Fax Number	:	978-307-3083

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2021
Last Update Date	:	05/30/2026

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