Healthcare Provider Details

I. General information

NPI: 1619703725
Provider Name (Legal Business Name): HERB LEMKE LMFT, LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/13/2024
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3666 GRATITUDE WAY
ABERDEEN MD
21001-2935
US

IV. Provider business mailing address

3666 GRATITUDE WAY
ABERDEEN MD
21001-2935
US

V. Phone/Fax

Practice location:
  • Phone: 919-352-2726
  • Fax:
Mailing address:
  • Phone: 919-352-2726
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLCM1194
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH61381761
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number2362
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: