Provider Demographics
NPI:1245442243
Name:LAWSON, SUMMER L (MS, RN, LISW, PMHNP)
Entity type:Individual
Prefix:MS
First Name:SUMMER
Middle Name:L
Last Name:LAWSON
Suffix:
Gender:F
Credentials:MS, RN, LISW, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8001 RAVINES EDGE CT
Mailing Address - Street 2:SUITE 201
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-5423
Mailing Address - Country:US
Mailing Address - Phone:614-896-8222
Mailing Address - Fax:614-896-8223
Practice Address - Street 1:8001 RAVINES EDGE CT
Practice Address - Street 2:SUITE 201
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-5423
Practice Address - Country:US
Practice Address - Phone:614-896-8222
Practice Address - Fax:614-896-8223
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2014-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 101YA0400X, 101YM0800X
OHCOA.16624-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health