Healthcare Provider Details

I. General information

NPI: 1447163498
Provider Name (Legal Business Name): PHOEBE LAMERS LPC
Entity Type: Individual
Gender:
Sole Proprietor: Y

Provider Other Name: PHOEBE BLACK

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10554 SUCCESS LN STE E
DAYTON OH
45458-3657
US

IV. Provider business mailing address

10554 SUCCESS LN STE E
DAYTON OH
45458-3657
US

V. Phone/Fax

Practice location:
  • Phone: 513-488-7161
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC.2608286
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: