Search › Georgia › 101YM0800X
Pamela Lake, LPC
NPI 1598816266 · on the registry since 2007
Practice
- Address
- 977a Taylor St Sw
Conyers, GA 30012 - Phone
- (770) 918-6677
- Fax
- (770) 918-6686
- Organisation at this address
- Grn Csb
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 22
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101YA0400X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia