Elliott, Pamela Jo
Elliott, Pamela Jo is an sole proprietor health care provider with primary practice located at 706 Oglesby Ave Ste 300 , Normal IL 61761-4616. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Elliott, Pamela Jo can be contacted via phone (309) 212-3606.Contact Information
Primary practice address
706 Oglesby Ave Ste 300
Normal IL 61761-4616
Phone: (309) 212-3606
Fax: (312) 789-4373
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 180004957 | Illinois |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 180004957 | Illinois |
Profile Details
| NPI number | 1841200904 |
|---|---|
| LBN Legal business name | Elliott, Pamela Jo |
| Credentials | LCPC NCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Jan 23rd, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841200904 | NPPES |
| Other | 22902 | NBCC |
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