Provider Demographics
NPI:1609100627
Name:LAMBETH, LAYTOYA CHEVETTE (MA, TLLP)
Entity Type:Individual
Prefix:MRS
First Name:LAYTOYA
Middle Name:CHEVETTE
Last Name:LAMBETH
Suffix:
Gender:F
Credentials:MA, TLLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51255 LUKE LN
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48374-1004
Mailing Address - Country:US
Mailing Address - Phone:248-667-6008
Mailing Address - Fax:248-928-7066
Practice Address - Street 1:51255 LUKE LN
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48374-1004
Practice Address - Country:US
Practice Address - Phone:248-667-6008
Practice Address - Fax:248-928-7066
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-23
Last Update Date:2009-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)