Healthcare Provider Details

I. General information

NPI: 1689584393
Provider Name (Legal Business Name): BENJAMIN LAMM LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1986 HOSEA L WILLIAMS DR NE STE C
ATLANTA GA
30317-2225
US

IV. Provider business mailing address

768 CHARLES ALLEN DR NE
ATLANTA GA
30308-1750
US

V. Phone/Fax

Practice location:
  • Phone: 706-406-3404
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC014296
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: