Provider Demographics
NPI:1194241976
Name:DALRYMPLE, NAMASINE LOLICE (LPC)
Entity type:Individual
Prefix:
First Name:NAMASINE
Middle Name:LOLICE
Last Name:DALRYMPLE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:NAMASINE
Other - Middle Name:LOLICE
Other - Last Name:BURTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1708 PEACHTREE ST NW STE 300
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-2434
Mailing Address - Country:US
Mailing Address - Phone:404-270-1016
Mailing Address - Fax:470-225-7079
Practice Address - Street 1:1708 PEACHTREE ST
Practice Address - Street 2:SUITE 300
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30064
Practice Address - Country:US
Practice Address - Phone:404-270-1016
Practice Address - Fax:470-225-7079
Is Sole Proprietor?:No
Enumeration Date:2017-08-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC007981101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health