Healthcare Provider Details

I. General information

NPI: 1598259699
Provider Name (Legal Business Name): ULYSSICIA JENEE LAMBERT-COLEMAN LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2018
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

329 ELMWOOD AVE
BUFFALO NY
14222-2220
US

IV. Provider business mailing address

290 HIGHLAND PKWY APT 4
TONAWANDA NY
14223-1451
US

V. Phone/Fax

Practice location:
  • Phone: 716-249-0565
  • Fax: 716-219-1705
Mailing address:
  • Phone: 716-510-7525
  • Fax: 716-219-1705

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number011200
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: