Provider Demographics
NPI:1104663921
Name:LAMM, LONI (LPC)
Entity type:Individual
Prefix:
First Name:LONI
Middle Name:
Last Name:LAMM
Suffix:
Gender:U
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20540 HIGHWAY 46 W STE 115
Mailing Address - Street 2:
Mailing Address - City:SPRING BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:78070-6825
Mailing Address - Country:US
Mailing Address - Phone:210-500-5313
Mailing Address - Fax:
Practice Address - Street 1:32600 US HIGHWAY 281 N STE 1101
Practice Address - Street 2:
Practice Address - City:BULVERDE
Practice Address - State:TX
Practice Address - Zip Code:78163-3319
Practice Address - Country:US
Practice Address - Phone:210-500-5313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-09
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLPC-9557101YP2500X
TX87166101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional