| Ms Pamela M Lake, LPC | |
|
977a Taylor St Sw, Conyers, GA 30012-5357 | |
| (770) 918-6677 | |
| (770) 918-6686 |
| Full Name | Ms Pamela M Lake |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 977a Taylor St Sw, Conyers, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598816266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LPC002727 (Georgia) | Primary |
| 101YM0800X | Counselor - Mental Health | LPC002727 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Pamela M Lake, LPC 977a Taylor St Sw, Conyers, GA 30012-5357 Ph: (770) 918-6677 | Ms Pamela M Lake, LPC 977a Taylor St Sw, Conyers, GA 30012-5357 Ph: (770) 918-6677 |
Mr. Solomon Berewa, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Iris Dr Sw Ste D200, Conyers, GA 30094 Phone: 404-396-7890 | |
Angel Jocelin Haye, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2365 Wall St Se Ste 200-04, Conyers, GA 30013 Phone: 404-890-0125 | |
Crystal N. Broughton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1775 Parker Rd Se Ste 210, Conyers, GA 30094 Phone: 470-967-8663 Fax: 678-218-4253 | |
Dandrea R Sanders, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1780b Southgate Ln Se, Conyers, GA 30013 Phone: 470-207-2044 | |
Leroy Bryan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1175 Green St Se, Conyers, GA 30012 Phone: 770-929-1470 | |
Tricia Anita Lopez, APC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1226 Royal Dr Sw, Conyers, GA 30094 Phone: 678-658-0645 | |
Debra Lavette Hanson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3204 Quincey Xing, Conyers, GA 30013 Phone: 404-803-1127 |