Provider Demographics
NPI:1053908707
Name:LAWRENCE, DARCEL SHERIE (DHA, LMSW, MBA)
Entity type:Individual
Prefix:DR
First Name:DARCEL
Middle Name:SHERIE
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:DHA, LMSW, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 RIVER PLACE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48207-5403
Mailing Address - Country:US
Mailing Address - Phone:313-871-2337
Mailing Address - Fax:313-871-6656
Practice Address - Street 1:100 RIVER PLACE DR STE 200
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48207-5403
Practice Address - Country:US
Practice Address - Phone:313-871-2337
Practice Address - Fax:313-871-6656
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-29
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010701451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical