Provider Demographics
NPI:1871219790
Name:LAMBERT, ALISHA (LPC)
Entity type:Individual
Prefix:
First Name:ALISHA
Middle Name:
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12958 CLIFTON BLVD APT 4
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107-1540
Mailing Address - Country:US
Mailing Address - Phone:330-338-6169
Mailing Address - Fax:
Practice Address - Street 1:14701 DETROIT AVE STE 430
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-4109
Practice Address - Country:US
Practice Address - Phone:330-338-6169
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-12
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.2403984101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health