MEDICARE: MRS. ASHLEY NAKIA LAWSON

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	106S00000X	Behavior Technician	LA
2	174N00000X	Lactation Consultant (Non-RN)	LA
3	374J00000X	Doula	LA
4	222Q00000X	Developmental Therapist

General Provider Information

NPI Number	:	1639527310
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ASHLEY NAKIA LAWSON

Provider Business Mailing Address
First Line	:	3925 W BAMBOO DR
Second Line	:
City	:	HARVEY
State	:	LA
Zip	:	70058-5822
Country	:	US
Telephone Number	:	504-232-9329
Fax Number	:

Provider Business Practice Location Address
First Line	:	3925 W BAMBOO DR
Second Line	:
City	:	HARVEY
State	:	LA
Zip	:	70058-5822
Country	:	US
Telephone Number	:	504-232-9329
Fax Number	:

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

Provider Enumeration Date	:	06/02/2016
Last Update Date	:	10/04/2025

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