Provider Demographics
NPI:1386053841
Name:LAMPKIN, SHAMEKIAS S (LPC-S)
Entity type:Individual
Prefix:MISS
First Name:SHAMEKIAS
Middle Name:S
Last Name:LAMPKIN
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 AUSTIN CIR
Mailing Address - Street 2:
Mailing Address - City:BYRAM
Mailing Address - State:MS
Mailing Address - Zip Code:39272-4491
Mailing Address - Country:US
Mailing Address - Phone:601-506-7062
Mailing Address - Fax:
Practice Address - Street 1:221 AUSTIN CIR
Practice Address - Street 2:
Practice Address - City:BYRAM
Practice Address - State:MS
Practice Address - Zip Code:39272-4491
Practice Address - Country:US
Practice Address - Phone:601-506-7062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-09
Last Update Date:2014-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1374101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional