Provider Demographics
NPI:1366640963
Name:LAMB, GRAFTON (LCSW)
Entity type:Individual
Prefix:
First Name:GRAFTON
Middle Name:
Last Name:LAMB
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5570 ARUNDEL DR NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327-4202
Mailing Address - Country:US
Mailing Address - Phone:404-531-9588
Mailing Address - Fax:
Practice Address - Street 1:2300 LAKE PARK DR SE
Practice Address - Street 2:SUITE 100
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-4076
Practice Address - Country:US
Practice Address - Phone:404-541-3012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW003343101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health