SYDNEY LAWRENCE (NPI# 1043874829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043874829 |
| Entity Type | Individual |
| Full Name | SYDNEY LAWRENCE |
| Credential | LPC |
| Practice Address |
1080 E Park St Carbondale IL 62901-3812 |
| Mailing Address |
55 E Jackson Blvd Ste 1500 Chicago IL 60604-4137 |
| Practice Telephone | 6185291151 |
| Mailing Telephone | 3126631130 |
| Mailing Fax Number | 3126630504 |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2019-04-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
178014485 | IL | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
178014485 | IL | Behavioral Health & Social Service Providers |
| Street Address |
1080 E PARK ST |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62901-3812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598914095 | Gateway Foundation, Inc. | Clinic/Center | 1080 E Park St, Carbondale, IL 62901-3812 | 2008-09-09 |
| 1982242368 | Gateway Professional Services, PC | Counselor | 1080 E Park St, Carbondale, IL 62901-3812 | 2019-12-16 |
| 1629635180 | Gateway Foundation, Inc. | Substance Abuse Rehabilitation Facility | 1080 E Park St, Carbondale, IL 62901-3812 | 2019-05-21 |
| 1326525668 | Tiffany D Allen | Social Worker | 1080 E Park St, Carbondale, IL 62901-3812 | 2018-07-19 |
| 1083102545 | Alejandra Q Corona | Social Worker | 1080 E Park St, Carbondale, IL 62901-3812 | 2018-04-30 |
| 1699191700 | Gateway Foundation, Inc | Substance Abuse Rehabilitation Facility | 1080 E Park St, West Wing, Carbondale, IL 62901-3812 | 2014-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961268 | Gerad Aaron Harsy | Pharmacist | Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 | 2020-10-30 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1306317383 | Rachael O Johnson | Nurse Practitioner | 404 S. Lewis Ln, Carbondale, IL 62901 | 2018-12-17 |
| 1740795194 | Megan Marie Zimmerman | Nurse Practitioner | 1100 W Diann Ln., Carbondale, IL 62901 | 2017-12-07 |
| 1295244242 | Amy Elizabeth Prudencio | Social Worker | 1301 E. Walnut Street, Carbondale, IL 62901 | 2017-09-21 |
| 1740708171 | Theresa Aleise Goodin | Speech-Language Pathologist | 1301 East Walnut Street, Carbondale, IL 62901 | 2017-09-06 |
| 1144762527 | Kathleen Chwalisz Rigney | Psychologist | 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 | 2016-11-16 |
| 1285185173 | Shawnee Health Service and Development Corp | Social Worker | 404 S. Lewis Lane, Carbondale, IL 62901 | 2016-10-17 |
| 1437605094 | Arielle Greer | Nurse's Aide | 510 E. Russell St., A, Carbondale, IL 62901 | 2016-09-01 |
| 1518413863 | Complete Family Eyecare of Carbondale, PC | Optometrist | 1241 East Walnut Street, Carbondale, IL 62901 | 2016-08-28 |
| Find all providers in zip 62901 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847359 | Shariece Inez Hastings | Counselor | 904 E Cindy St, Carbondale, IL 62901-3318 | 2020-09-23 |
| 1780156547 | Kw Therapy, LLC | Counselor | 112 Blue Creek Overlook, Carbondale, CO 81623-7705 | 2018-12-18 |
| 1043696982 | Dominique Davis-warner | Counselor | 1337b Springer Ridge Rd, Carbondale, IL 62902-7902 | 2015-08-03 |
| 1407275589 | Eileen Gielow | Counselor | 9 Raccoon Ct, Carbondale, CO 81623-8756 | 2014-04-15 |
| 1932527728 | Marsha Perfetti | Counselor | 241 S Lewis Ln, Carbondale, IL 62901-3443 | 2014-03-31 |
| 1255670303 | Beth A Morrison | Counselor | 118 Glopen Rd, Carbondale, IL 62901-5860 | 2013-02-10 |
| 1861745911 | Turkessa Crystal Jackson | Counselor | 1144 E Rendleman St, Carbondale, IL 62901-3428 | 2012-10-25 |
| 1669783601 | Cindy P Johnson | Counselor | 35 Albany Rd Ste E, Carbondale, IL 62903-7647 | 2010-06-24 |
| 1164661716 | Peter N. Haller | Counselor | 604 E College St Ste 101, Carbondale, IL 62901-3309 | 2009-02-05 |
| 1366584906 | F Dale Budslick | Counselor | 607 W Main, #100, Carbondale, IL 62901 | 2007-02-12 |
| Find all providers in CARBONDALE | ||||
| City | CARBONDALE |
| Zip Code | 62901 |
Please comment or provide details below to improve the information on SYDNEY LAWRENCE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.