Provider Demographics
NPI:1619703725
Name:LEMKE, HERB (LMFT, LMHC)
Entity type:Individual
Prefix:
First Name:HERB
Middle Name:
Last Name:LEMKE
Suffix:
Gender:M
Credentials:LMFT, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12358 LA CROSSE STREET
Mailing Address - Street 2:
Mailing Address - City:WHITE SANDS MISSILE RANGE
Mailing Address - State:NM
Mailing Address - Zip Code:88002
Mailing Address - Country:US
Mailing Address - Phone:919-352-2726
Mailing Address - Fax:
Practice Address - Street 1:12358 LA CROSSE STREET
Practice Address - Street 2:
Practice Address - City:WHITE SANDS MISSILE RANGE
Practice Address - State:NM
Practice Address - Zip Code:88002
Practice Address - Country:US
Practice Address - Phone:919-352-2726
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-13
Last Update Date:2024-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH61381761101Y00000X
NC2362101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor