Healthcare Provider Details

I. General information

NPI: 1811554306
Provider Name (Legal Business Name): DESIREE JOYCE LAMBERT LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2019
Last Update Date: 06/07/2025
Certification Date: 06/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1214 CANTERBURY TRL
ASHEBORO NC
27205-8861
US

IV. Provider business mailing address

1214 CANTERBURY TRL
ASHEBORO NC
27205-8861
US

V. Phone/Fax

Practice location:
  • Phone: 910-690-2862
  • Fax:
Mailing address:
  • Phone: 910-690-2862
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number13226
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: