Davis, Pamela

Davis, Pamela is an individual health care provider with primary practice located at 2081 Calistoga Dr Suite #2S, New Lenox IL 60451-4831. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Davis, Pamela can be contacted via phone (815) 418-6070.

Contact Information

Primary practice address
2081 Calistoga Dr Suite #2S New Lenox IL 60451-4831
Phone: (815) 418-6070
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 178.008494 Illinois

Profile Details

NPI number 1285087205
LBN Legal business name Davis, Pamela
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2016
Last updated Jul 14th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1285087205 NPPES
Illinois Other 178.008494 MEDICARE LICENSE

Popular Providers