Hargrove, Pamela

Hargrove, Pamela is an individual health care provider with primary practice located at 9315 Telegraph Rd , Redford MI 48239-1260. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Hargrove, Pamela can be contacted via phone (313) 450-4500.

Contact Information

Primary practice address
9315 Telegraph Rd Redford MI 48239-1260
Phone: (313) 450-4500
Fax: (313) 450-4812
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X 6401017132 Michigan

Profile Details

NPI number 1669902987
LBN Legal business name Hargrove, Pamela
Credentials LLPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2017
Last updated Mar 2nd, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669902987 NPPES
Michigan MEDICAID 6401017132

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