Provider Demographics
NPI:1871364208
Name:LAMB, SHERIKA QUINTEL
Entity type:Individual
Prefix:
First Name:SHERIKA
Middle Name:QUINTEL
Last Name:LAMB
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 EDGEWOOD DR APT 2316
Mailing Address - Street 2:
Mailing Address - City:MAUMELLE
Mailing Address - State:AR
Mailing Address - Zip Code:72113-6285
Mailing Address - Country:US
Mailing Address - Phone:501-590-2962
Mailing Address - Fax:
Practice Address - Street 1:100 EDGEWOOD DR APT 2316
Practice Address - Street 2:
Practice Address - City:MAUMELLE
Practice Address - State:AR
Practice Address - Zip Code:72113-6285
Practice Address - Country:US
Practice Address - Phone:501-590-2962
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-15
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI202372-130101YA0400X
ARCIT-B-00333101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)