Provider Demographics
NPI:1043693815
Name:LAMB, RACHEL ALTA (MSC/MFCT, MBA)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:ALTA
Last Name:LAMB
Suffix:
Gender:F
Credentials:MSC/MFCT, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4867 CASTLE ROCK CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-4869
Mailing Address - Country:US
Mailing Address - Phone:702-227-9980
Mailing Address - Fax:
Practice Address - Street 1:601 EAST ST
Practice Address - Street 2:
Practice Address - City:PAHRUMP
Practice Address - State:NV
Practice Address - Zip Code:89048-5368
Practice Address - Country:US
Practice Address - Phone:702-913-5214
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-29
Last Update Date:2015-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVMI0624101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor