Healthcare Provider Details

I. General information

NPI: 1568326999
Provider Name (Legal Business Name): JACQUIE LAMB, LMHC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2653 SW 87TH DR STE A
GAINESVILLE FL
32608-9382
US

IV. Provider business mailing address

2653 SW 87TH DR STE A
GAINESVILLE FL
32608-9382
US

V. Phone/Fax

Practice location:
  • Phone: 352-331-0020
  • Fax: 352-331-0022
Mailing address:
  • Phone: 352-331-0020
  • Fax: 352-331-0022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JACQUIE LAMB
Title or Position: OWNER
Credential: LMHC
Phone: 352-332-0020