Provider Demographics
NPI:1659980803
Name:DONNA LAMB LCSW PLLC
Entity Type:Organization
Organization Name:DONNA LAMB LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMB
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:713-295-1695
Mailing Address - Street 1:491 CYPRESS ESTATES PARKWAY
Mailing Address - Street 2:
Mailing Address - City:INGRAM
Mailing Address - State:TX
Mailing Address - Zip Code:78025
Mailing Address - Country:US
Mailing Address - Phone:713-295-1695
Mailing Address - Fax:
Practice Address - Street 1:222 SIDNEY BAKER ST S STE 350
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-5900
Practice Address - Country:US
Practice Address - Phone:830-257-0022
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-23
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty