Mchan, Pamela Gail
Mchan, Pamela Gail is an sole proprietor health care provider with primary practice located at 8303 Office Park Dr Suite B, Douglasville GA 30134-6935. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Mchan, Pamela Gail can be contacted via phone (678) 838-8333.Contact Information
Primary practice address
8303 Office Park Dr Suite B
Douglasville GA 30134-6935
Phone: (678) 838-8333
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 005801 | Georgia |
Profile Details
| NPI number | 1093940801 |
|---|---|
| LBN Legal business name | Mchan, Pamela Gail |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 22nd, 2009 |
| Last updated | Jan 26th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093940801 | NPPES |
| Georgia | MEDICAID | 125772845B |
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