Active NPI
Cheryl Elaine Lamb, AMFT
- Marriage & Family Therapist
- Midway, GA
National Provider Identifier
1083430177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- AMFT000758
- Practice address
- 248 Butler St
Midway, GA 31320-4596 - Phone
- (912) 667-6474
- Fax
- (912) 442-3147
- NPI assigned
- Nov 23, 2024
- Last updated
- Nov 23, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | AMFT000758 | GA | Primary |
Addresses
Primary practice location
248 Butler St
Midway, GA 31320-4596
Mailing address
PO Box 528
Ellabell, GA 31308-0528
Phone (912) 667-6474
Other practice location 1
745 Old Mill Creek Rd
Ellabell, GA 31308-9103
Phone (912) 667-6474
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT000758 | GA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732320000000",
"number": "1083430177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 528",
"city": "ELLABELL",
"state": "GA",
"postal_code": "313080528",
"telephone_number": "912-667-6474",
"fax_number": "912-442-3147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "248 BUTLER ST",
"city": "MIDWAY",
"state": "GA",
"postal_code": "313204596",
"telephone_number": "912-667-6474",
"fax_number": "912-442-3147"
}
],
"practiceLocations": [
{
"address_1": "745 Old Mill Creek Rd",
"address_purpose": "LOCATION",
"city": "Ellabell",
"state": "GA",
"postal_code": "313089103",
"country_code": "US",
"telephone_number": "912-667-6474",
"fax_number": "912-442-3147",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAMB",
"first_name": "CHERYL",
"middle_name": "ELAINE",
"name_prefix": "Mrs.",
"credential": "AMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-23",
"last_updated": "2024-11-23",
"certification_date": "2024-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "AMFT000758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midway, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.