Healthcare Provider Details

I. General information

NPI: 1801161062
Provider Name (Legal Business Name): LAMB COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2012
Last Update Date: 01/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1850 OLD PECOS TRL SUITE F
SANTA FE NM
87505-4760
US

IV. Provider business mailing address

172 STANWELL ST
COLORADO SPRINGS CO
80906-7994
US

V. Phone/Fax

Practice location:
  • Phone: 575-496-1179
  • Fax:
Mailing address:
  • Phone: 575-496-1179
  • Fax: 719-309-0858

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: REBECCA JEAN LAMB
Title or Position: OWNER
Credential: LPCC
Phone: 575-496-1179