Odom, Pamela Y.

Odom, Pamela Y. is an sole proprietor health care provider with primary practice located at 1790 N Lee Trevino Dr Suite 601 A, El Paso TX 79936-4545. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Odom, Pamela Y. can be contacted via phone (915) 778-4243.

Contact Information

Primary practice address
1790 N Lee Trevino Dr Suite 601 A El Paso TX 79936-4545
Phone: (915) 778-4243
Fax: (915) 778-4244
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 63937 Texas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0068462 New Mexico
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1891814646
LBN Legal business name Odom, Pamela Y.
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2007
Last updated Apr 11th, 2011 - about 14 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 1891814646 NPPES
New Mexico MEDICAID 15823881
New Mexico MEDICAID 211916601

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