Individual provider · Type 1 NPI

Pamela M. Lake, LPC

Mental Health Counselor · Conyers, GA

NPI number 1598816266 Active

Practice location

977A Taylor St SW
Conyers, GA 30012-5357

Fax (770) 918-6686

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLPC002727 (GA)
Mental Health Counselor Primary 101YM0800XLPC002727 (GA)

Mental Health Counselor: Definition to come...

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About NPI 1598816266

Pamela M. Lake, LPC's National Provider Identifier is 1598816266, issued on Jan 16, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Conyers, GA. The record was last updated on Sep 11, 2025.