Provider Demographics
NPI:1699809764
Name:LAMBERT, ELISHA NALL (LPC)
Entity Type:Individual
Prefix:
First Name:ELISHA
Middle Name:NALL
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1848 LONE STAR RD STE 125
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-5791
Mailing Address - Country:US
Mailing Address - Phone:682-422-7070
Mailing Address - Fax:
Practice Address - Street 1:1848 LONE STAR RD STE 125
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-5791
Practice Address - Country:US
Practice Address - Phone:682-422-7070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73578101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX882LPUOtherBCBS
TX345128803Medicaid