Provider Demographics
NPI:1750516969
Name:LAMB, ERICA BETH (BA)
Entity type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:BETH
Last Name:LAMB
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4835 FINDON PL
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80922-2122
Mailing Address - Country:US
Mailing Address - Phone:270-920-2723
Mailing Address - Fax:
Practice Address - Street 1:125 N PARKSIDE DR STE 108
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-6026
Practice Address - Country:US
Practice Address - Phone:719-448-0865
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-18
Last Update Date:2009-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health