Provider Demographics
NPI:1871144980
Name:LAMB, JANET R (LPC-MHSP)
Entity type:Individual
Prefix:MRS
First Name:JANET
Middle Name:R
Last Name:LAMB
Suffix:
Gender:F
Credentials:LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3404 MIDLAND RD
Mailing Address - Street 2:
Mailing Address - City:SHELBYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37160-7006
Mailing Address - Country:US
Mailing Address - Phone:931-205-9677
Mailing Address - Fax:
Practice Address - Street 1:304 E DEPOT ST
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37160-4028
Practice Address - Country:US
Practice Address - Phone:931-205-9677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-20
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4686101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional