Provider Demographics
NPI:1215327341
Name:LAMB, RACHEL ANN (MA, LCMHC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANN
Last Name:LAMB
Suffix:
Gender:F
Credentials:MA, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 RAMS RD
Mailing Address - Street 2:
Mailing Address - City:HAVELOCK
Mailing Address - State:NC
Mailing Address - Zip Code:28532-1752
Mailing Address - Country:US
Mailing Address - Phone:252-269-0267
Mailing Address - Fax:
Practice Address - Street 1:925 E MAIN ST STE 7
Practice Address - Street 2:
Practice Address - City:HAVELOCK
Practice Address - State:NC
Practice Address - Zip Code:28532-2375
Practice Address - Country:US
Practice Address - Phone:252-269-0267
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-27
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA14727101YP2500X
NC14727101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional