Provider Demographics
NPI:1831253665
Name:LAMB ATCHLEY, LAURA J (MS, LPC, LADC)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:J
Last Name:LAMB ATCHLEY
Suffix:
Gender:F
Credentials:MS, LPC, LADC
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:J
Other - Last Name:LAMB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LPC, LADC
Mailing Address - Street 1:43 SWEET LEAF DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGER
Mailing Address - State:OK
Mailing Address - Zip Code:73458-8086
Mailing Address - Country:US
Mailing Address - Phone:580-504-2888
Mailing Address - Fax:580-561-6693
Practice Address - Street 1:1105 MICHELIN RD
Practice Address - Street 2:
Practice Address - City:ARDMORE
Practice Address - State:OK
Practice Address - Zip Code:73401-1085
Practice Address - Country:US
Practice Address - Phone:580-224-8750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK78101YA0400X
OK1464101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)