Provider Demographics
NPI:1760957633
Name:RAMBERG, CHARLOTTE (LPC, NCC, PMH-C)
Entity type:Individual
Prefix:MRS
First Name:CHARLOTTE
Middle Name:
Last Name:RAMBERG
Suffix:
Gender:F
Credentials:LPC, NCC, PMH-C
Other - Prefix:
Other - First Name:CHARLOTTE
Other - Middle Name:
Other - Last Name:SIEBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8925 HUNTSHIRE CT
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30028-3073
Mailing Address - Country:US
Mailing Address - Phone:678-227-8956
Mailing Address - Fax:
Practice Address - Street 1:102 MARY ALICE PARK RD STE 601
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-2713
Practice Address - Country:US
Practice Address - Phone:678-995-5796
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-08
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC011035101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health