Provider Demographics
NPI:1083211429
Name:LAMB, PAMELA CHRISTINE (LPC-MHSP (TEMP))
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:CHRISTINE
Last Name:LAMB
Suffix:
Gender:F
Credentials:LPC-MHSP (TEMP)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7985 GREENBRIAR RD
Mailing Address - Street 2:
Mailing Address - City:TALBOTT
Mailing Address - State:TN
Mailing Address - Zip Code:37877-8906
Mailing Address - Country:US
Mailing Address - Phone:423-956-0423
Mailing Address - Fax:
Practice Address - Street 1:7985 GREENBRIAR RD
Practice Address - Street 2:
Practice Address - City:TALBOTT
Practice Address - State:TN
Practice Address - Zip Code:37877-8906
Practice Address - Country:US
Practice Address - Phone:423-956-0423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-08
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4425101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional