| Eric Hedean Lamb, Lcsw, Llc | |
|
495 Grand Blvd Ste 206 Miramar Beach FL 32550-1897 | |
| (847) 404-4855 | |
| (850) 613-6184 |
| Full Name | Eric Hedean Lamb, Lcsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 495 Grand Blvd Ste 206, Miramar Beach, Florida |
| Authorized Official Name and Position | Eric H Lamb (PRESIDENT) |
| Authorized Official Contact | 8474044855 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Hedean Lamb, Lcsw, Llc 495 Grand Blvd Ste 206 Miramar Beach FL 32550-1897 Ph: (847) 404-4855 | Eric Hedean Lamb, Lcsw, Llc 495 Grand Blvd Ste 206 Miramar Beach FL 32550-1897 Ph: (847) 404-4855 |
| NPI Number | 1437673969 |
|---|---|
| Provider Enumeration Date | 07/26/2017 |
| Last Update Date | 03/27/2024 |
| Certification Date | 03/27/2024 |
| Medicare PECOS PAC ID | 4880950419 |
|---|---|
| Medicare Enrollment ID | O20171114002231 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437673969 | NPI | - | NPPES |
| 022552800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW12114 (Florida) | Primary |
| Provider Name | Eric Hedean Lamb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386643278 PECOS PAC ID: 7214998152 Enrollment ID: I20150529000918 |
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