Healthcare Provider Details

I. General information

NPI: 1326515040
Provider Name (Legal Business Name): MICHAEL LAMONT OSBORNE LMHC, LPCC, MHC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: MICHAEL LAMONT OSBORNE LMHC, LPCC, MHC

II. Dates (important events)

Enumeration Date: 10/31/2018
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1040 HUFF RD NW APT 2430
ATLANTA GA
30318-4273
US

IV. Provider business mailing address

1040 HUFF RD NW APT 2430
ATLANTA GA
30318-4273
US

V. Phone/Fax

Practice location:
  • Phone: 678-532-4366
  • Fax:
Mailing address:
  • Phone: 678-532-4366
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1394
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number39005363A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE.2505308
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH24694
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: