Provider Demographics
NPI:1922334465
Name:LAMBERTI, AMANDA KAY (MA, LCPC, NCC)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:KAY
Last Name:LAMBERTI
Suffix:
Gender:F
Credentials:MA, LCPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:954 BROOKS RACKLEY RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:GA
Mailing Address - Zip Code:30157-9241
Mailing Address - Country:US
Mailing Address - Phone:678-923-4578
Mailing Address - Fax:406-259-4638
Practice Address - Street 1:954 BROOKS RACKLEY RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:GA
Practice Address - Zip Code:30157-9241
Practice Address - Country:US
Practice Address - Phone:678-923-4578
Practice Address - Fax:406-259-4638
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-18
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LCPC-LIC-42501101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional