Individual
STEPHANIE LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 W HAWTHORNE AVE, VALLEY STREAM, NY 11580-6223
(516) 872-9698
Mailing address
14722 226TH ST # 1, SPRINGFIELD GARDENS, NY 11413-4245
(760) 912-3523
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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